Organization
ANITHA MANDADAPU, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITHA MANDADAPU M.D. (MEMBER)
(502) 817-0927
Entity
Organization
Contact information
Practice address
8521 LA GRANGE RD, LOUISVILLE, KY 40242-3800
(502) 817-0927
(502) 222-8745
Mailing address
3905 SPRING VALLEY WAY, LOUISVILLE, KY 40241-5121
(502) 817-0927
(502) 222-8745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
42490
KY
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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