Individual
SUDHIR MANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 N WILMOT RD, STE. # 151, TUCSON, AZ 85711-2701
(520) 886-0206
(520) 886-0829
Mailing address
PO BOX 910221 STE # 350, DALLAS, TX 75391-0001
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50809
AZ
207RH0003X
Hematology & Oncology Physician
RT2294
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2855629
—
OH
01
—
50809
AZ LICENSE
AZ
Enumeration date
05/18/2007
Last updated
03/09/2022
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