Organization
MANDRAN HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA H WILSON (DIRECTOR)
(502) 275-0035
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 411, LOUISVILLE, KY 40207-4837
(502) 275-0035
(502) 275-0034
Mailing address
4010 DUPONT CIR STE 411, LOUISVILLE, KY 40207-4837
(502) 275-0035
(502) 275-0034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
09/10/2021
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