Mandzy, Svitlana J

Mandzy, Svitlana J is an individual health care provider with primary practice located at 4003 Kresge Way Suite 410, Louisville KY 40207-4652. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Mandzy, Svitlana J can be contacted via phone (502) 893-7462.

Contact Information

Primary practice address
4003 Kresge Way Suite 410 Louisville KY 40207-4652
Phone: (502) 893-7462
Fax: (502) 212-7551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 36466 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36466 Kentucky

Profile Details

NPI number 1750375861
LBN Legal business name Mandzy, Svitlana J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated May 31st, 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 1750375861 NPPES
Kentucky Other 6109684127217 ANTHEM SR. ADVANTAGE
Kentucky MEDICAID 1155612 ANTHEM SR. ADVANTAGE
Kentucky Other 000000197267 ANTHEM SR. ADVANTAGE
Kentucky Other 1750375861 ANTHEM SR. ADVANTAGE
Kentucky MEDICAID 64046345 ANTHEM SR. ADVANTAGE

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