Mandhare, Vidya K

Mandhare, Vidya K is an individual health care provider with primary practice located at 2222 Simon Bolivar Ave Fl 2, New Orleans LA 70113-1460. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mandhare, Vidya K can be contacted via phone (504) 658-2785.

Contact Information

Primary practice address
2222 Simon Bolivar Ave Fl 2 New Orleans LA 70113-1460
Phone: (504) 658-2785
Fax: (504) 658-2784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN087376 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP020536 Louisiana

Profile Details

NPI number 1407887094
LBN Legal business name Mandhare, Vidya K
Credentials RN MSN FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 17th, 2017 - about 7 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 1407887094 NPPES
Louisiana MEDICAID 1782661

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