Individual
VANI DANDOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-7916
(570) 808-6006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14114
NV
207V00000X
Obstetrics & Gynecology Physician
MD-062757-L
PA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
14114
NV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD062757L
PA
207VG0400X
Gynecology Physician
14114
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016590140008
—
PA
01
—
1205824224
MEDICARE PPAN
NV
05
—
1205824224
—
NV
Enumeration date
10/13/2005
Last updated
03/09/2026
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