| Vasudevar Rao Mandava Md Pc | |
|
43171 Dalcoma Dr Ste 8 Ste 8 Clinton Township MI 48038-6307 | |
| (586) 263-9772 | |
| (586) 263-4577 |
| Full Name | Vasudevar Rao Mandava Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 43171 Dalcoma Dr Ste 8, Clinton Township, Michigan |
| Authorized Official Name and Position | Cyndi L Sanchez (BILLING MANAGER) |
| Authorized Official Contact | 5867731823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasudevar Rao Mandava Md Pc 43171 Dalcoma Dr Ste 8 Ste 8 Clinton Township MI 48038-6307 Ph: (586) 263-9772 | Vasudevar Rao Mandava Md Pc 43171 Dalcoma Dr Ste 8 Ste 8 Clinton Township MI 48038-6307 Ph: (586) 263-9772 |
| NPI Number | 1255512661 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255512661 | NPI | - | NPPES |
| 110E021360 | Other | MI | BCBS GROUP |
| 1096276 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | VM031566 (Michigan) | Primary |
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