ANISHA MANDAVA M.D NPI 1891932729

NPI Information

  • NPI: 1891932729
  • Provider Name: ANISHA MANDAVA, M.D
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 MCWILLAMS DRIVE
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (770) 702-1864

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NPI Details

Anisha Mandava, M.D is a cardiovascular disease internal medicine in Peachtree City, GA with 24 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Anisha Mandava, M.D NPI is 1891932729. 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:

100 MCWILLAMS DRIVE
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 702-1864
Fax: (833) 305-0287

The NPI 1891932729 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 1/14/2009 and was last updated on 7/3/2024.

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
1207RC0000XInternal MedicineCardiovascular Disease14458NEVADANo
2208M00000XHospitalist250978NEW YORKNo
3208M00000XHospitalist047099CONNECTICUTNo
4207RC0000XInternal MedicineCardiovascular Disease95772GEORGIAYes

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
111939090OTHERCAQH
2P01198011OTHERRAILROAD M'CARE

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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