NPIMap

Organization Active NPI

Anitha Mandadapu, MD, PLLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1831473859
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
42490 Issued in KY
Legal business name
ANITHA MANDADAPU, MD, PLLC
Practice address
8521 La Grange Rd
Louisville, KY 40242-3800
Phone
(502) 817-0927
Fax
(502) 222-8745
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anitha Mandadapu, M.D.
Title
Member
Phone
(502) 817-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 42490 KY Primary

Addresses

Primary practice location

8521 La Grange Rd
Louisville, KY 40242-3800

Mailing address

3905 Spring Valley Way
Louisville, KY 40241-5121
Phone (502) 817-0927

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1831473859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SPRING VALLEY WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402415121",
            "telephone_number": "502-817-0927",
            "fax_number": "502-222-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-817-0927",
            "fax_number": "502-222-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITHA MANDADAPU, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "MANDADAPU",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-817-0927",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "42490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.