Individual
MANDIGA V RAO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 JEFFERSON AVE, JEANNETTE, PA 15644-2505
(724) 527-3551
(724) 527-6519
Mailing address
PO BOX 157, GRAPEVILLE, PA 15634-0157
(724) 527-6517
(724) 523-6519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD037131L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01075421606
—
PA
Enumeration date
09/16/2005
Last updated
07/08/2007
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