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Individual

SUDHAKAR MANDIGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7186 WILLIAMS HILL RD, COLUMBUS, GA 31904-1961
(706) 478-3909
(706) 494-4831
Mailing address
7186 WILLIAMS HILL RD, COLUMBUS, GA 31904-1961
(706) 478-3909
(706) 494-4831

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29936
AL
207L00000X
Anesthesiology Physician
34501
IA
207L00000X
Anesthesiology Physician
62552
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0277129
IA
01
48976
BLUE CROSS
IA
Enumeration date
05/20/2006
Last updated
03/29/2010
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