Individual
DR. BHUVANAPRASAD LAKSHMI MANDALAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2550
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K9606
TX
2084N0400X
Neurology Physician
K9606
TX
2084N0400X
Neurology Physician
Primary
MD61394237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U5180
BCBS
TX
Enumeration date
06/17/2006
Last updated
06/09/2025
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