Jayaprakash Manda, MD
Internal Medicine in Charlotte, North Carolina
1528298247- Practice location
- 10628 Park RD, Charlotte, NC 28210-8407
- Phone
- 704-659-5338
- Fax
- —
- Last updated
- April 21, 2026
Jayaprakash Manda is an Internal Medicine based in Charlotte, NC. Jayaprakash Manda practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Jayaprakash Manda is 1528298247 and holds a License No. ME162658 (FL). The current practice location address for Jayaprakash Manda is 10628 Park RD, Charlotte, NC 28210-8407 and can be reached out via phone at 704-659-5338.
Provider Profile Details
- NPI Number
- 1528298247
- Provider Name
- Jayaprakash Manda
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10628 Park RD, Charlotte, NC 28210-8407
- Phone Number
- 704-659-5338
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 15, 2009
- Last Update Date
- April 21, 2026
- Certification Date
- April 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10628 Park RD
Charlotte, NC 28210-8407 - City
- Charlotte
- State
- North Carolina
- Zip
- 28210-8407
- Phone Number
- 704-659-5338
Provider Business Mailing Address Details
- Address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - City
- Clermont
- State
- FL
- Zip
- 34711-1979
- Phone Number
- 352-536-8840
- Fax Number
- 352-536-8841
License Information
- License Number (1)
- ME162658
- License State (1)
- FL
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 25MA09277900
- License State (2)
- NJ
- Taxonomy (2)
- Hospitalist · 208M00000X
- License Number (3)
- 25MA09277900
- License State (3)
- NJ
- Taxonomy (3)
- Internal Medicine · 207R00000X
- License Number (4)
- 2025-03452
- License State (4)
- NC
- Taxonomy (4)
- Hospitalist · 208M00000X
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 Jayaprakash Manda, MD?
The NPI number of Jayaprakash Manda, MD is 1528298247. It was assigned on July 15, 2009 and is currently active in the NPPES registry.
What is the specialty of Jayaprakash Manda, MD?
Jayaprakash Manda, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in FL under license number ME162658.
Where does Jayaprakash Manda, MD practice?
The practice location is 10628 Park RD, Charlotte, NC 28210-8407. The office can be reached at 704-659-5338 (phone).
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 1528298247 directly on the NPPES registry website.