Provider Demographics
NPI:1093944001
Name:MANDHADI, RANADEEP REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:RANADEEP
Middle Name:REDDY
Last Name:MANDHADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:660 SUMMIT CROSSING PL STE 302
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2183
Practice Address - Country:US
Practice Address - Phone:704-671-6438
Practice Address - Fax:704-671-6436
Is Sole Proprietor?:No
Enumeration Date:2009-07-11
Last Update Date:2022-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2021-01858207RR0500X
CT052981207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology