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
Phone: (877) 515-0053
Fax: (916) 454-6926
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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