Mandapati, Divakar
Mandapati, Divakar is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery/Cardiothoracic, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mandapati, Divakar can be contacted via phone (508) 334-3278.Contact Information
Primary practice address
55 Lake Ave N Department Of Surgery/Cardiothoracic
Worcester MA 01655-0002
Phone: (508) 334-3278
Fax: (508) 334-7284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 216636 | Massachusetts |
Profile Details
| NPI number | 1144261942 |
|---|---|
| LBN Legal business name | Mandapati, Divakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Feb 20th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144261942 | NPPES |
| Massachusetts | MEDICAID | 2096790 |
Popular Providers
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Walker, Jennifer D
55 Lake Ave N , Worcester MA 01655-0002 -
Lou, Feiran
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Bello, Ricardo A
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Uy, Karl L
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Okike, Okike Nsidinanya
55 Lake Ave N Department Of Cardiothoracic Surgery, Worcester MA 01655-0002 -
Huerter, Mary Elise
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Tam, Stanley K
55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002 -
Graeber, Geoffrey M
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