Individual
ANURADHA MANTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10503 W THUNDERBIRD BLVD STE 103, SUN CITY, AZ 85351-3047
(623) 974-3649
(623) 974-8364
Mailing address
10503 W THUNDERBIRD BLVD STE 103, SUN CITY, AZ 85351-3047
(623) 974-3649
(623) 974-8364
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R79129
AZ
207RN0300X
Nephrology Physician
HSE34144
FL
Other
Enumeration date
08/01/2021
Last updated
05/29/2023
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