SHREYA MANDAVA
NPI 1083457626
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
About Shreya Mandava NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHREYA MANDAVA (NPI 1083457626) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351053087) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shreya Mandava is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shreya Mandava's NPI number?
The NPI number for Shreya Mandava is 1083457626. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is Shreya Mandava located?
Shreya Mandava practices at 1500 E Medical Center Dr Spc 5312, Ann Arbor, MI 48109. The listed phone number is (734) 936-9178.
What is Shreya Mandava's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shreya Mandava enrolled in Medicare?
Yes. Shreya Mandava is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shreya Mandava was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shreya Mandava · NPI 1083457626
Student in an Organized Health Care Education/Training Program provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1083457626 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351053087 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR SPC 5312, Ann Arbor, MI 48109-5312
- **Phone:** (734) 936-9178
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083457626) · Data from the CMS NPPES public registry.