Nandalur, Mohan Reddi

Nandalur, Mohan Reddi is an sole proprietor health care provider with primary practice located at 1215 N Beaver Street Heart & Vascular Center Of Northern Arizona, Flagstaff AZ 86001-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nandalur, Mohan Reddi can be contacted via phone (703) 587-3913.

Contact Information

Primary practice address
1215 N Beaver Street Heart & Vascular Center Of Northern Arizona Flagstaff AZ 86001-3118
Phone: (703) 587-3913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11895 Montana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 11895 Montana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X D64943 Maryland
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D64943 Maryland

Profile Details

NPI number 1447295324
LBN Legal business name Nandalur, Mohan Reddi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Feb 10th, 2012 - about 13 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 1447295324 NPPES
Maryland MEDICAID 155173
Maryland MEDICAID 15171
Maryland Other 000085424

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