Mamatha Mandava
MD | Pediatrics | Female
Mamatha Mandava, MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mamatha Mandava is
1501 Kings Hwy, Department Of Pediatrics, Shreveport, Louisiana - 71103-4228. She can be contacted on phone at
318-675-6076 and fax number 318-675-6059.
Mamatha Mandava is a sole proprietor of her business.
NPI number (Unique professional ID) for Mamatha Mandava is
1346568177 which was assigned by NPPES on 04 May, 2010 and it was last updated on 05 Aug, 2013.
Mamatha Mandava license number is
206428 for Pediatrics (208000000X) in Louisiana.
Mamatha Mandava is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mamatha Mandava basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mamatha Mandava |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Mamatha Mandava address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1501 Kings Hwy, Department Of Pediatrics
Shreveport, LA, 71103-4228
United States |
|---|
| Phone Number : | 318-675-6076 |
|---|
| Fax Number : | 318-675-6059 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346568177 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 04 May, 2010 |
|---|
| Last Updated On : | 05 Aug, 2013 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mamatha Mandava are as mentioned. Primary taxonomy code for Mamatha Mandava, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 206428 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Mamatha Mandava such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2103351 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1512 W Kirby Pl
Shreveport, LA, 71103-3822
United States |
|---|
| Phone Number : | 318-675-5000 |
|---|
Business Location:
Patients can refer following map for directions to
Mamatha Mandava practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.