MANISH MANDAVA

SPRINGFIELD, IL
NPI1639817075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125079921)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
MANISH MANDAVA MD
800 E CARPENTER ST BOX 43
SPRINGFIELD, IL 62769-0001
Phone number: 217-545-8000
Mailing Address
MANISH MANDAVA MD
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000
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