NAGESWARA R MANDAVA

FLUSHING, NY
NPI1275534711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
(Licence: NY  165321)
Enumeration Date2005-08-09
Last Update Date2010-06-17
Business Address
-- NAGESWARA R MANDAVA MD
14601 45TH AVE SUITE 405
FLUSHING, NY 11355-2200
Phone number: 718-670-5202
Mailing Address
-- NAGESWARA R MANDAVA MD
PO BOX 740008
REGO PARK, NY 11374-0008
Phone number: 718-670-5202
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