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Individual

DR. ANANDHI MANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD22450
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023873006
BLUE CROSS/BLUE SHIELD
OR
05
288283
OR
01
9906613
CIGNA
OR
Enumeration date
09/29/2005
Last updated
10/29/2010
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