| NPI | 1164654307 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-08-21 |
| Last Updated | 2020-12-08 |
| Mailing Address | 5200 Commerce Crossings Dr Fl 3 Louisville, KY 40229-2182 United States Phone: (502) 253-4900 📍 View Map |
| Primary Practice Address | 4003 Kresge Way Ste 500 Louisville, KY 40207-5603 United States Phone: (502) 897-1166 | Fax: (502) 897-1461 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | KY | 45366 | License |
| MEDICAID | KY | 7100142880 | — |
| Other (non-Medicare) | KY | K129880 | Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RH0003X – Internal Medicine, Hematology & Oncology | KY | 45366 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1164654307
Mounika Mandadi M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164654307. The primary specialty listed is Internal Medicine, Hematology & Oncology. The provider is located in Louisville, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-08-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164654307?
NPI 1164654307 belongs to Mounika Mandadi M.D., a Internal Medicine, Hematology & Oncology in Louisville, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164654307 active?
The current status of NPI 1164654307 in the NPPES registry is Active. The record was last updated on 2020-12-08.
What specialty is NPI 1164654307?
NPI 1164654307 is classified under the taxonomy Internal Medicine, Hematology & Oncology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164654307?
You can verify NPI 1164654307 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164654307?
The primary practice address on file for NPI 1164654307 is 4003 Kresge Way Ste 500, Louisville, KY 40207-5603. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164654307 issued?
NPI 1164654307 was first issued (enumerated) on 2009-08-21. The NPPES record was last updated on 2020-12-08.
Practice Location Map
Mounika Mandadi is located at 4003 Kresge Way Ste 500, Louisville, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mounika Mandadi. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164654307. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Hematology & Oncology | 45366 | KY |