Manda, Sudhir

Manda, Sudhir is an individual health care provider with primary practice located at 603 N Wilmot Rd Ste. # 151, Tucson AZ 85711-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Manda, Sudhir can be contacted via phone (520) 886-0206.

Contact Information

Primary practice address
603 N Wilmot Rd Ste. # 151 Tucson AZ 85711-2701
Phone: (520) 886-0206
Fax: (520) 886-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X RT2294 New Hampshire
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 50809 Arizona

Profile Details

NPI number 1164630679
LBN Legal business name Manda, Sudhir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Mar 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164630679 NPPES
Arizona Other 50809 AZ LICENSE
Arizona MEDICAID 2855629 AZ LICENSE

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