MAMATHA MANDAVA

SHREVEPORT, LA
NPI1346568177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  206428)
Enumeration Date2010-05-04
Last Update Date2013-08-05
Business Address
MAMATHA MANDAVA MD
1501 KINGS HWY DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6076
Mailing Address
MAMATHA MANDAVA MD
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-5000
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