Individual
DR. VIJAYSINHA MANDHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2008-00275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910579
—
NC
01
—
DP4614
RAILROAD MEDICARE GROUP PTAN
NC
01
—
P00759335
RAILROAD MEDICARE
NC
Enumeration date
05/23/2007
Last updated
06/25/2020
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