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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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