Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANISHA MANDAVA, M.D
ActiveANISHA MANDAVA, M.D is a Cardiovascular Disease healthcare provider located in PEACHTREE CITY, Georgia. NPI 1891932729 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · PEACHTREE CITY, GA
Registration Details
- NPI Number
- 1891932729
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2009 (17.621804914576 yrs)
- Last Updated
- Jul 3, 2024
- Licenses
-
14458 (NV)250978 (NY)047099 (CT)95772 (GA)
Practice Information
- Address
-
100 MCWILLAMS DRIVEPEACHTREE CITY, GA, 30269Browse GA providers · Browse ZIP 30269
- Phone
- 7707021864
- Fax
- 8333050287
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Hospitalist
- Additional Specialty
- Cardiovascular Disease
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.