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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1447295324 | NPPES |
| Maryland | MEDICAID | 155173 | |
| Maryland | MEDICAID | 15171 | |
| Maryland | Other | 000085424 |
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