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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANDIKALA IKOTA

Active

MANDIKALA IKOTA is a Licensed Vocational Nurse healthcare provider located in NEWARK, Texas. NPI 1689212870 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · NEWARK, TX

Registration Details

NPI Number
1689212870
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2019 (6.6452501571825 yrs)
Last Updated
Dec 18, 2019
License
228234 (TX)

Practice Information

Address
146 CATTLEMANS CREEK RD
NEWARK, TX, 760714327
Browse TX providers · Browse ZIP 76071
Phone
8174413096
Primary Specialty
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.