M.D. Mounika Mandadi, NPI 1164654307
Hematology & Oncology Physician in Louisville, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164654307 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Mounika Mandadi |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 4003 Kresge Way Ste 500, Louisville, KY, US |
| Provider Mailing Address | 5200 Commerce Crossings Dr Fl 3, Louisville, KY, US, 402292182 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| License No. | 45366 |
| License State | KY |
| Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| K129880 | KY | MEDICARE | 01 |
| 45366 | KY | LICENSE | 01 |
| 7100142880 | KY | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 4003 Kresge Way Ste 500, Louisville, KY, US |
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