Individual
DR. SUBHADRA MANDADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE STE 902, CHARLESTON, WV 25304-1234
(304) 388-6590
(304) 388-6595
Mailing address
3100 MACCORKLE AVE SE STE 902, CHARLESTON, WV 25304-1234
(304) 388-6590
(304) 388-6595
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27497
WV
Other
Enumeration date
10/27/2011
Last updated
12/01/2017
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