Individual provider · Type 1 NPI

Likhith Sai Mandava

Student in an Organized Health Care Education/Training Program · Jackson, MI

NPI number 1700672888 Active

Practice location

205 N East Ave, Henry Ford Jackson Hospital
Jackson, MI 49201

Call (517) 205-7116 Map

Fax (517) 205-7050

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351055066 (MI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700672888

Likhith Sai Mandava's National Provider Identifier is 1700672888, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MI. The record was last updated on Oct 8, 2025.