Provider Demographics
NPI:1225724164
Name:MANDAPATI, CHANDRA BHANU (MD)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:BHANU
Last Name:MANDAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HCA FLORIDA OCALA HOSPITAL,
Mailing Address - Street 2:1431 SW 1ST AVE, BITZER 7
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-401-8311
Mailing Address - Fax:
Practice Address - Street 1:HCA FLORIDA OCALA HOSPITAL,
Practice Address - Street 2:1431 SW 1ST AVE, BITZER 7
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-401-8311
Practice Address - Fax:352-401-8313
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program