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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Huerter, Mary Elise
55 Lake Ave N , Worcester MA 01655-0002 -
Graeber, Geoffrey M
67 Belmont St Division Of Thoracic Surgery, Worcester MA 01605-2657 -
Tam, Stanley K
55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002 -
Urschel, John D
55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002 -
Maxfield, Mark Webster
67 Belmont St , Worcester MA 01605-2657 -
Walker, Jennifer D
55 Lake Ave N , Worcester MA 01655-0002 -
Harrison, Lynn H
55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002 -
Balsam, Leora Beth
55 Lake Avenue North Department Of Surgery, Worcester MA 01655-0001