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Mounika Mandadi, MD
Hematology & Oncology Physician in Louisville, Kentucky
NPI 1164654307

Mounika Mandadi is a Hematology & Oncology Physician based in Louisville, KY and is specialized in Hematology & Oncology. Mounika Mandadi practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Mounika Mandadi is 1164654307 and holds a License No. 45366 (Kentucky).

The current practice location address for Mounika Mandadi is 4003 Kresge Way Ste 500, Louisville, KY and can be reached out via phone at 502-897-1166 and via fax at 502-897-1461.

Location: 4003 Kresge Way Ste 500, Louisville, KY, 40229-2182
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Provider Profile Details
NPI Number
1164654307
Provider Name
Mounika Mandadi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4003 Kresge Way Ste 500, Louisville, KY, 40229-2182
Phone Number
502-897-1166
Fax Number
502-897-1461
Provider Enumeration Date
08/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K129880 01 KY MEDICARE
45366 01 KY LICENSE
7100142880 05 KY
institution
Provider Business Practice Location Address Details
Address
4003 Kresge Way Ste 500
City
State
Zip
40207-5603
Phone Number
502-897-1166
Fax Number
502-897-1461
person
Provider Business Mailing Address Details
Address
4003 Kresge Way Ste 500
City
State
Zip
40207-5603
Phone Number
502-897-1166
Fax Number
502-897-1461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
45366 (Kentucky)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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