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1821787037
KRANTHI KIRAN MANDAVA
NEWARK, NJ
NPI
1821787037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
Dr. KRANTHI KIRAN MANDAVA MD
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4300
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Mailing Address
Dr. KRANTHI KIRAN MANDAVA MD
807 GREENLAND SQ
HIGHLAND PARK, NJ 08904-2777
Phone number: 732-318-2612
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