Mandava, Aneel

Mandava, Aneel is an individual health care provider with primary practice located at 2801 K St Suite 502, Sacramento CA 95816-5120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mandava, Aneel can be contacted via phone (877) 515-0053.

Contact Information

Primary practice address
2801 K St Suite 502 Sacramento CA 95816-5120
Fax: (916) 454-6926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A94175 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A94175 California

Profile Details

NPI number 1538143714
LBN Legal business name Mandava, Aneel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 9th, 2015 - about 9 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 1538143714 NPPES
California Other 1538143714 MEDI-CAL
California MEDICAID 00A941750 MEDI-CAL
California MEDICAID 1538143714 MEDI-CAL
California Other 00A941750 MEDI-CAL

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