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Individual

KARTIKEYA DEVARATAS MANDAVILLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-10689
AR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
311403
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60006
KY

Other

Enumeration date
08/04/2012
Last updated
01/13/2025
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