Individual
MANISH MANDAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114-4858
(816) 943-4700
Mailing address
1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114-4858
(816) 943-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125079921
IL
207R00000X
Internal Medicine Physician
Primary
2025026134
MO
Other
Enumeration date
05/25/2022
Last updated
05/07/2026
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