Mandadi, Goutham
Mandadi, Goutham is an individual health care provider with primary practice located at 600 W Ridge Rd , Wytheville VA 24382-1044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mandadi, Goutham can be contacted via phone (276) 228-0200.Contact Information
Primary practice address
600 W Ridge Rd
Wytheville VA 24382-1044
Phone: (276) 228-0200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101246730 | Virginia |
Profile Details
NPI number | 1528380243 |
---|---|
LBN Legal business name | Mandadi, Goutham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2010 |
Last updated | Apr 26th, 2019 - about 6 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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