Dr. Suresh Mandava, MD
Ophthalmology in Stamford, Connecticut
1477551869- Practice location
- 2046 W Main St Ste 2, Stamford, CT 06902-4523
- Phone
- 203-869-3082
- Fax
- 203-869-6453
- Last updated
- March 27, 2018
Suresh Mandava is an Ophthalmology based in Stamford, CT. Suresh Mandava practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Suresh Mandava is 1477551869 and holds a License No. 036932 (CT). The current practice location address for Suresh Mandava is 2046 W Main St Ste 2, Stamford, CT 06902-4523 and can be reached out via phone at 203-869-3082 and via fax at 203-869-6453.
Provider Profile Details
- NPI Number
- 1477551869
- Provider Name
- Suresh Mandava
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2046 W Main St Ste 2, Stamford, CT 06902-4523
- Phone Number
- 203-869-3082
- Fax Number
- 203-869-6453
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2005
- Last Update Date
- March 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2046 W Main St Ste 2
Stamford, CT 06902-4523 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-4523
- Phone Number
- 203-869-3082
- Fax Number
- 203-869-6453
Provider Business Mailing Address Details
- Address
- 2046 W Main St Ste 2
Stamford, CT 06902-4523 - City
- Stamford
- State
- CT
- Zip
- 06902-4523
- Phone Number
- 203-869-3082
- Fax Number
- 203-869-6453
License Information
- License Number
- 036932
- License State
- CT
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Suresh Mandava, MD?
The NPI number of Dr. Suresh Mandava, MD is 1477551869. It was assigned on July 11, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Suresh Mandava, MD?
Dr. Suresh Mandava, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in CT under license number 036932.
Where does Dr. Suresh Mandava, MD practice?
The practice location is 2046 W Main St Ste 2, Stamford, CT 06902-4523. The office can be reached at 203-869-3082 (phone) or 203-869-6453 (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 1477551869 directly on the NPPES registry website.