NAGESWARA R MANDAVA


Address: 14601 45th Ave, Suite 405, Flushing, NY 11355-2200
Phone: 7186705202

NAGESWARA R MANDAVA (NPI# 1275534711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275534711
Entity Type Individual
Full Name NAGESWARA R MANDAVA
Credential MD
Practice Address 14601 45th Ave
Suite 405
Flushing
NY 11355-2200
Mailing Address Po Box 740008
Rego Park
NY 11374-0008
Practice Telephone 7186705202
Practice Fax Number 7186705312
Mailing Telephone 7186705202
Mailing Fax Number 7186705312
Enumeration Date 2005-08-09
Last Update Date 2010-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
165321 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01124258 05

Office Location

Street Address 14601 45TH AVE
SUITE 405
City FLUSHING
State NY
Zip Code 11355-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194243303 Zhen Yang Social Worker 14601 45th Ave, Flushing, NY 11355-2200 2017-09-07
1871942599 Ya Joo Jung Pharmacist 14601 45th Ave, Flushing, NY 11355-2200 2016-06-03
1487012506 Waiming Wu Pharmacist 14601 45th Ave, Flushing, NY 11355-2200 2016-02-03
1205257870 Karen Fung Social Worker 14601 45th Ave, Flushing, NY 11355-2200 2013-12-26
1568703619 Flushing Hospital Medical Center Clinic/Center 14601 45th Ave, Suite # 205, Flushing, NY 11355-2200 2013-03-13
1578865192 Xiao Hui Wang Obstetrics & Gynecology 14601 45th Ave, Suite 203, Flushing, NY 11355-2200 2010-12-02
1609182427 Anna Chernilevskaya Social Worker 14601 45th Ave, Flushing, NY 11355-2200 2010-08-31
1629384466 Robert Francis Lopez Psychologist 14601 45th Ave, 310, Flushing, NY 11355-2200 2010-08-30
1700191970 Yasmin Rashid Social Worker 14601 45th Ave, 310, Flushing, NY 11355-2200 2010-08-12
1962736249 Nalini C Jani Counselor 14601 45th Ave, 310, Flushing, NY 11355-2200 2009-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588281364 Antoinette Sanon Registered Nurse 42-49 Alban St, Flushing, NY 11355 2020-06-29
1336765353 Jayesh Nakum Physical Therapist 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 2020-06-25
1417582990 Royal Class Home Health Care Agency, Inc Home Health 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 2020-03-05
1356972673 Christine Samuel Nurse Practitioner Nyp Queens, 56-45 Main Street, Flushing, NY 11355 2020-01-27
1740842590 Ji Nu Lee Acupuncturist 138 49 Barclay Ave. 6a, Flushing, NY 11355 2019-07-02
1386203990 Paula Scharffenberg Registered Nurse 140-50 Poelar Ave, Queens, NM 11355 2019-06-07
1821655101 Erin Cisney Student in an Organized Health Care Education/Training Program 5654 Main St, Flushing, NY 11355 2019-05-22
1356810063 Sanjay Lodha Physician PC Internal Medicine 45 72 Parsons Lewis Blvd, Flushing, NY 11355 2018-11-26
1740756576 Allday Pharmacy Inc Pharmacy 4199 Main St, Suite 202a, Flushing, NY 11355 2018-10-19
1477035806 Xiaona Mo Acupuncturist 42-67 Saull St #b, Flushing, NY 11355 2018-09-01
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801838545 Pierre Frank Saldinger Surgery 56-45 Main Street, W-ll300, Flushing, NY 11355-5045 2006-06-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992334379 Health Quest Medical Practice, PC Surgery 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 2020-04-07
1215565783 Health Quest Medical Practice, PC Surgery 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 2020-03-31
1306474879 Health Quest Medical Practice, PC Surgery 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 2020-03-31
1336620004 Jianhong Winson Tan Surgery 1233 York Ave Apt 20n, New York, NY 10065-6342 2018-08-22
1306348610 Health Quest Medical Practice, PC Surgery 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 2018-03-02
1316286404 Harold O Douglass Jr. Surgery 72 Andover Ln, Williamsville, NY 14221-3309 2013-02-08
1811246382 Iain James Nixon Surgery 1378 York Ave, Apt 1c, New York, NY 10021-3415 2012-08-30
1578819595 Dong Kyu Kim Surgery 118 Foxwood Dr, Jericho, NY 11753-1116 2012-07-27
1881965903 William Mahoney Surgery 15 Eileen's Path, Box 2738, East Hampton, NY 11937 2012-01-20
1649551953 Manuela J Junqueira Surgery 303 E 60th St Apt 24f, New York, NY 10022-1523 2011-08-31
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Competitor

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City FLUSHING
Zip Code 11355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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