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General NPI Number Information
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NPI Number | 1558524603
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Entity Type | Individual
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Provider Name | SUSHMA MANDA M.D.,
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 7131 ARLINGTON RD APT 253
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City | BETHESDA
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State | MD
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Zip | 20814-2944
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Country | US
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Telephone | 315-313-0146
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01086268A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101271837
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 255214
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0092183
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME117730
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 76059-20
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 52179
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA11167200
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License Number State | NJ
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