Individual
DR. ANITHA MANDADAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 284-8000
(502) 805-0690
Mailing address
101 W MUHAMMAD ALI BLVD, SUITE#340, LOUISVILLE, KY 40202-1954
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
42490
KY
Other
Enumeration date
02/10/2007
Last updated
03/31/2020
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