Dr. Bela S Mandavilli, MD
Pathology, Anatomic Pathology & Clinical Pathology in East Hartford, Connecticut
1417948712- Practice location
- 111 Founders Plz, #300 C/O Ipms, East Hartford, CT 06108-3212
- Phone
- 860-282-4137
- Fax
- 860-282-0170
- Last updated
- January 24, 2020
Bela S Mandavilli is a Pathology, Anatomic Pathology & Clinical Pathology based in East Hartford, CT. Bela S Mandavilli practices in East Hartford, CT and has the professional credentials of MD. The NPI Number for Bela S Mandavilli is 1417948712 and holds a License No. 037000 (CT). The current practice location address for Bela S Mandavilli is 111 Founders Plz, #300 C/O Ipms, East Hartford, CT 06108-3212 and can be reached out via phone at 860-282-4137 and via fax at 860-282-0170.
Provider Profile Details
- NPI Number
- 1417948712
- Provider Name
- Bela S Mandavilli
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Founders Plz, #300 C/O Ipms, East Hartford, CT 06108-3212
- Phone Number
- 860-282-4137
- Fax Number
- 860-282-0170
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Other Names
- -- Bela P Desai (Former Name)
- Provider Enumeration Date
- November 4, 2005
- Last Update Date
- January 24, 2020
- Certification Date
- January 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Founders Plz
#300 C/O Ipms
East Hartford, CT 06108-3212 - City
- East Hartford
- State
- Connecticut
- Zip
- 06108-3212
- Phone Number
- 860-282-4137
- Fax Number
- 860-282-0170
Provider Business Mailing Address Details
- Address
- 41 Brewster RD
Bristol, CT 06010-5161 - City
- Bristol
- State
- CT
- Zip
- 06010-5161
- Phone Number
- 860-585-3591
License Information
- License Number
- 037000
- License State
- CT
- Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pathology, Anatomic Pathology & Clinical Pathology providers near East Hartford, CT
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Frequently Asked Questions
What is the NPI number of Dr. Bela S Mandavilli, MD?
The NPI number of Dr. Bela S Mandavilli, MD is 1417948712. It was assigned on November 4, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Bela S Mandavilli, MD?
Dr. Bela S Mandavilli, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 037000.
Where does Dr. Bela S Mandavilli, MD practice?
The practice location is 111 Founders Plz, #300 C/O Ipms, East Hartford, CT 06108-3212. The office can be reached at 860-282-4137 (phone) or 860-282-0170 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417948712 directly on the NPPES registry website.