Vasudevar Rao Mandava Md Pc

LBN: Vasudevar Rao Mandava Md Pc
Vasudevar Rao Mandava Md Pc is an health care organization with primary practice located at 43171 Dalcoma Dr Ste 8 Ste 8, Clinton Township MI 48038-6307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Vasudevar Rao Mandava Md Pc can be contacted via phone (586) 263-9772, or through Sanchez, Cyndi L via phone (586) 773-1823.

Contact Information

Primary practice address
43171 Dalcoma Dr Ste 8 Ste 8 Clinton Township MI 48038-6307
Phone: (586) 263-9772
Fax: (586) 263-4577
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Cyndi L
Phone: (586) 773-1823

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X VM031566 Michigan

Profile Details

NPI number 1255512661
LBN Legal business name Vasudevar Rao Mandava Md Pc
DBA Doing business as
Authorized official Sanchez, Cyndi L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Jan 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255512661 NPPES
Michigan Other 110E021360 BCBS GROUP
Michigan MEDICAID 1096276 BCBS GROUP

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