J Mandava Llc

LBN: J Mandava Llc
J Mandava Llc is an health care organization with primary practice located at 255 Spencer Rd Suite 201, Saint Peters MO 63376-2494. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. J Mandava Llc can be contacted via phone (636) 939-2550, or through Mandava, Jyothi via phone (636) 939-2550.

Contact Information

Primary practice address
255 Spencer Rd Suite 201 Saint Peters MO 63376-2494
Phone: (636) 939-2550
Fax: (636) 939-2551
Website:
Map and Directions
Authorized official contact:
Name: Mandava, Jyothi Doctor of Medicine (MD)
Phone: (636) 939-2550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1811083892
LBN Legal business name J Mandava Llc
DBA Doing business as
Authorized official Mandava, Jyothi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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