Mandadi, Sreelatha
Mandadi, Sreelatha is an sole proprietor health care provider with primary practice located at 5100 Marna Lynn Ave Nw , Albuquerque NM 87114-5701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mandadi, Sreelatha can be contacted via phone (505) 898-0923.Contact Information
Primary practice address
5100 Marna Lynn Ave Nw
Albuquerque NM 87114-5701
Phone: (505) 898-0923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | C 4939 | New Mexico |
Profile Details
| NPI number | 1114201530 |
|---|---|
| LBN Legal business name | Mandadi, Sreelatha |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2011 |
| Last updated | Oct 4th, 2011 - about 14 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 | 1114201530 | NPPES |
| New Mexico | MEDICAID | NONE ASSIGNED |
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