Suresh Mandava is a Ophthalmology in Stamford, Connecticut. Suresh Mandava practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Suresh Mandava is 1477551869. The last update date is 2018-03-27.
Suresh Mandava's current location address is 2046 W Main St Ste 2, Stamford, Connecticut. You can contact this provider via phone number 2038693082 and fax number 2038696453. The mailing address for Suresh Mandava is 2046 W Main St Ste 2, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suresh Mandava |
|---|---|
| Address | 2046 W Main St Ste 2, Stamford, Connecticut |
| Phone Number | 2038693082 |
| Fax Number | 2038696453 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477551869 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2018-03-27 |
Provider Mailing Address Detail
| Address | 2046 W Main St Ste 2 |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69024523 |
| Phone Number | 2038693082 |
| Fax Number | 2038696453 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 36932 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010036932CT01 | ANTHEM BCBS | ||
| 2046779 | AETNA | ||
| 36932 | CONNECTICARE | ||
| 2V8862 | HEALTHNET | ||
| 9Y214 | EMPIRE |
Post Comment/ Review Below
What is the unique identification code assigned to Suresh Mandava by the Centers for Medicare & Medicaid Services?
The Suresh Mandava has been issued the NPI (National Provider Identifier) 1477551869. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Suresh Mandava is physically located?
The Suresh Mandava is situated at the following address: 2046 W Main St Ste 2, Stamford, CT 69024523.
What is Suresh Mandava's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suresh Mandava is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Suresh Mandava receive the assignment of its 1477551869 from the Centers for Medicare & Medicaid Services?
The Suresh Mandava was issued its 1477551869 by the Centers for Medicare & Medicaid Services on 2005-07-11.
As of what date were the details pertaining to Suresh Mandava last refreshed?
The information related to the Suresh Mandava, including its address, specialty, and other relevant details, was last updated on 2018-03-27.
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