Individual
DR. ADITYA MANDAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248826
MA
207RI0011X
Interventional Cardiology Physician
Primary
58870
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58870
TN LICENSE
TN
Enumeration date
05/23/2011
Last updated
05/15/2019
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