Organization
JEANNETTE ANESTHESIA GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDIGA V. RAO M.D. (PRESIDENT)
(724) 527-6517
Entity
Organization
Contact information
Practice address
600 JEFFERSON AVE, JEANNETTE, PA 15644-2505
(724) 527-3551
(724) 527-6519
Mailing address
PO BOX 155, GRAPEVILLE, PA 15634-0155
(724) 527-6517
(724) 527-6519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017544610002
—
PA
01
—
G1430
RR/MED
—
Enumeration date
07/26/2005
Last updated
08/22/2020
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