Mandava, Anisha

Mandava, Anisha is an individual health care provider with primary practice located at 100 Mcwillams Drive , Peachtree City GA 30269. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mandava, Anisha can be contacted via phone (770) 702-1864.

Contact Information

Primary practice address
100 Mcwillams Drive Peachtree City GA 30269
Phone: (770) 702-1864
Fax: (833) 305-0287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14458 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 250978 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 047099 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 95772 Georgia

Profile Details

NPI number 1891932729
LBN Legal business name Mandava, Anisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2009
Last updated Jul 3rd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891932729 NPPES
Other 11939090 CAQH
Other P01198011 CAQH

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