Sundeep Mandava is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sundeep Mandava NPI is 1497117634. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1465 S GRAND BLVD RM 2717
SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 577-5634
Fax: (314) 577-5616
The NPI 1497117634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2016 and was last updated on 3/27/2016.