Mandiga, Sudhakar

Mandiga, Sudhakar is an individual health care provider with primary practice located at 7186 Williams Hill Rd , Columbus GA 31904-1961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mandiga, Sudhakar can be contacted via phone (706) 478-3909.

Contact Information

Primary practice address
7186 Williams Hill Rd Columbus GA 31904-1961
Phone: (706) 478-3909
Fax: (706) 494-4831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34501 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 62552 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29936 Alabama

Profile Details

NPI number 1497709927
LBN Legal business name Mandiga, Sudhakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 29th, 2010 - about 14 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 1497709927 NPPES
Iowa Other 48976 BLUE CROSS
Iowa MEDICAID 0277129 BLUE CROSS

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