Organization
DHP OF VALLEY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJAL MANDAVIA M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1000 TRANCAS ST, NAPA, CA 94558-2906
(707) 252-4411
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
08/06/2012
Last updated
05/08/2013
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