MOUNIKA MANDADI (NPI# 1164654307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164654307 |
| Entity Type | Individual |
| Full Name | MOUNIKA MANDADI |
| Credential | M.D. |
| Practice Address |
4003 Kresge Way Ste 500 Louisville KY 40207-5603 |
| Mailing Address |
5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 |
| Practice Telephone | 5028971166 |
| Practice Fax Number | 5028971461 |
| Mailing Telephone | 5022534900 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
45366 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100142880 | 05 | |
| KY | MEDICARE | K129880 | 01 |
| KY | LICENSE | 45366 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1031 New Moody Ln Ste 204, La Grange, KY 400319151 | 5028971166 | 5028971461 |
| 529 S Jackson St, Louisville, KY 402023229 | 5025624370 | |
| 2400 Eastpoint Pkwy Ste 310, Louisville, KY 402234154 | 5028971166 | 5028971461 |
| Street Address |
4003 KRESGE WAY STE 500 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275670788 | Wangjian Zhong | Internal Medicine | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-01-31 |
| 1811349384 | Ashley Webber | Nurse Practitioner | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2016-07-08 |
| 1154445195 | Mary Helen Davis | Psychiatry & Neurology | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1275670788 | Wangjian Zhong | Internal Medicine | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-01-31 |
| 1619946159 | Khuda Dad Khan | Internal Medicine | 315 E Broadway Fl 4, Louisville, KY 40202 | 2006-03-16 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1053318717 | Christopher C Croot | Internal Medicine | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2005-07-07 |
| 1285084558 | Satish Stephen Maharaj | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2016-06-17 |
| 1295118644 | Drew Carl Drennan Murray | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2015-07-02 |
| 1417367210 | Phuong Tuyet Ngo | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2014-05-01 |
| 1831464940 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1568737674 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MOUNIKA MANDADI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.