DR. MANASA G MANTRAVADI M.D. NPI 1508008020

NPI Information

  • NPI: 1508008020
  • Provider Name: DR. MANASA G MANTRAVADI, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 654 N SENATE AVE
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (812) 240-9789

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NPI Details

DR. Manasa G Mantravadi, M.D. is a pediatrics in Indianapolis, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Manasa G Mantravadi, M.D. NPI is 1508008020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

654 N SENATE AVE
INDIANAPOLIS, IN
ZIP 46202-110
Phone: (812) 240-9789

The enumeration date for this NPI number is 3/30/2009 and was last updated on 3/20/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME113007FLORIDANo
2208000000XPediatrics01075610AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201316090MEDICAIDINDIANA
2145590101MEDICARE PININDIANA
3P01512486OTHERINDIANAMEDICARE RR PTAN
4266180590MEDICARE PININDIANA

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: 11/21/2025

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