Individual
MS. BHARGAVI MANDIPALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1116 MILLIS AVE, STE 101, BOONVILLE, IN 47601-2292
(812) 897-7175
(812) 897-7125
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070721A
IN
Other
Enumeration date
06/04/2008
Last updated
07/31/2012
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