Organization · Type 2 NPI

Anitha Mandadapu, Md, PLLC

Specialist · Louisville, KY

NPI number 1831473859 Active

Practice location

8521 La Grange Rd
Louisville, KY 40242-3800

Fax (502) 222-8745

Mailing address

3905 Spring Valley Way
Louisville, KY 40241-5121

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X42490 (KY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1831473859

Anitha Mandadapu, Md, PLLC's National Provider Identifier is 1831473859, issued on Oct 10, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Louisville, KY. The record was last updated on Oct 10, 2011.