Individual
DR. SURESH MANDAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2046 W MAIN ST STE 2, STAMFORD, CT 06902-4523
(203) 869-3082
(203) 869-6453
Mailing address
2046 W MAIN ST STE 2, STAMFORD, CT 06902-4523
(203) 869-3082
(203) 869-6453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036932
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036932CT01
ANTHEM BCBS
—
01
—
036932
CONNECTICARE
—
01
—
2046779
AETNA
—
01
—
2V8862
HEALTHNET
—
01
—
9Y214
EMPIRE
—
Enumeration date
07/11/2005
Last updated
03/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us