Individual
MAHENDRA K. MANDAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2426
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
047348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000855137A
—
GA
05
—
G47348
—
SC
Enumeration date
08/30/2006
Last updated
03/01/2025
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