Sandu, Mamatha

Sandu, Mamatha is an sole proprietor health care provider with primary practice located at 509 Cagan View Rd , Clermont FL 34714-6405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sandu, Mamatha can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
509 Cagan View Rd Clermont FL 34714-6405
Fax: (407) 660-1667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME112365 Florida

Profile Details

NPI number 1134487903
LBN Legal business name Sandu, Mamatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated May 20th, 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 1134487903 NPPES
Florida MEDICAID 116647100

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