Individual
ASHA MANDAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11811 FM 1960 RD W, SUITE 100, HOUSTON, TX 77065-3827
(281) 970-2337
(281) 970-2318
Mailing address
PO BOX 841969, UNIVERSITY OF ILLINOIS MEDICAL CENTER, DALLAS, TX 75284-7232
(832) 824-2999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q6768
TX
Other
Enumeration date
10/05/2006
Last updated
02/08/2017
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