Individual
JAYAPRAKASH MANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 659-5338
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09277900
NJ
207R00000X
Internal Medicine Physician
Primary
ME162658
FL
208M00000X
Hospitalist Physician
2025-03452
NC
208M00000X
Hospitalist Physician
25MA09277900
NJ
Other
Enumeration date
07/15/2009
Last updated
04/21/2026
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