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NPI Code Detail

MEDICARE: SAVITRI MANDA M.D.

MEDICARE: SAVITRI MANDA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician04-31545KS
2207Q00000XFamily Medicine Physician2008022991MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215981980
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVITRI MANDA M.D.
Provider Business Mailing Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-922-2366
Fax Number :
Provider Business Practice Location Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-922-2366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/02/2016

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Directions to “ SAVITRI MANDA M.D.” Practice Location

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