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Individual

DR. ANUPA MANDAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1169 EASTERN PKWY STE 3323, LOUISVILLE, KY 40217-1415
(718) 300-1540
Mailing address
1169 EASTERN PKWY STE 3323, LOUISVILLE, KY 40217-1415
(718) 300-1540

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
50737
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
50737
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100498500
KY
Enumeration date
01/12/2012
Last updated
12/01/2025
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