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VASUDEVAR RAO MANDAVA MD PC NPI 1255512661


NPI Information

NPI: 1255512661
Provider Name: VASUDEVAR RAO MANDAVA MD PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
43171 DALCOMA DR STE 8
STE 8
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 263-9772
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VASUDEVAR RAO MANDAVA MD PC is an internal medicine in Clinton Township, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VASUDEVAR RAO MANDAVA MD PC NPI is 1255512661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43171 DALCOMA DR STE 8
STE 8
CLINTON TOWNSHIP, MI
ZIP 48038-307
Phone: (586) 263-9772
Fax: (586) 263-4577

The provider's authorized official is Cyndi L Sanchez .
The authorized official title is Billing Manager and has the following contact phone number (586) 773-1823.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 1/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineVM031566MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10505731MEDICARE PINMICHIGAN
2110E021360OTHERMICHIGANBCBS GROUP
31096276MEDICAIDMICHIGAN
4E35348MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.