ANIL KUMAR REDDY MANDA (NPI# 1528223054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528223054 |
| Entity Type | Individual |
| Full Name | ANIL KUMAR REDDY MANDA |
| Credential | DMD |
| Practice Address |
5020 West Lloyd Expwy Ste 200 Evansville IN 47712 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220 |
| Practice Telephone | 8124638000 |
| Practice Fax Number | 8124638104 |
| Mailing Telephone | 8662738204 |
| Mailing Fax Number | 8668034943 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011176A | IN | Dental Providers |
| Street Address |
5020 WEST LLOYD EXPWY STE 200 |
| City | EVANSVILLE, |
| State | IN |
| Zip Code | 47712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
| 1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
| 1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
| 1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
| 1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| 1114911682 | Christopher Allen Johnston | Specialist/Technologist | University of Southern Indiana, 8600 University Blvd, Evansville, IN 47712 | 2005-09-09 |
| Find all providers in zip 47712 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1134737026 | Gelsy Calvo Hernandez | Dentist | 1519 Us Highway 41 Ste B8, Schererville, IN 46375-1373 | 2020-07-17 |
| 1508483611 | Monica Vance | Dentist | 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 | 2020-07-06 |
| 1265059828 | Yuen Ting Chan | Dentist | 5240 Franklin St, Michigan City, IN 46360-7372 | 2020-06-30 |
| 1962028829 | Knobs Damily Dental, LLC | Dentist | 3684 Us-150 #9, Floyds Knobs, IN 47119 | 2020-06-17 |
| 1962026948 | Maria Contreras Mantilla | Dentist | 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 | 2020-06-04 |
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE, |
| Zip Code | 47712 |
Please comment or provide details below to improve the information on ANIL KUMAR REDDY MANDA.
| 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.