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Dr. Sirisha Mandadi

Prosthodontist

2241 Theodore St
Crest Hill , Illinois 60403-1881

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Dr. Sirisha Mandadi

Prosthodontist

2241 Theodore St
Crest Hill , Illinois 60403-1881

(203) 921-5269

Write a Review Save Call

Dr. Sirisha Mandadi

Prosthodontist

2241 Theodore St
Crest Hill , Illinois 60403-1881

(203) 921-5269 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

2241 Theodore St Crest Hill , Illinois 60403-1881

First Address

  • Dr. Sirisha Mandadi
  • 4627 Cedar Dr
  • Naperville, IL
  • Zip : 60564-1155
  • Phone : (203) 921-5269

Second Address

  • Dr. Sirisha Mandadi
  • 2241 Theodore St
  • Crest Hill, IL
  • Zip : 60403-1881
  • Fax : (815) 741-8511
  • Phone : (815) 741-1700

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FAQs


Where did Dr. Sirisha Mandadi attend graduate school?

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Where did Dr. Sirisha Mandadi do her residency?

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Where did Dr. Sirisha Mandadi do her fellowship?

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Is Dr. Sirisha Mandadi board certified?

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What type of doctor is Dr. Sirisha Mandadi

Prosthodontist

In what state does Dr. Sirisha Mandadi practice in?

Illinois

Where is Dr. Sirisha Mandadi ’s practice located?

2241 Theodore St , Crest Hill, Illinois, 60403-1881

What is Dr. Sirisha Mandadi ’s gender?

Female

Is Dr. Sirisha Mandadi a sole practitioner?

No

Is Dr. Sirisha Mandadi accepting new patients?

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What languages does Dr. Sirisha Mandadi speak?

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Does Dr. Sirisha Mandadi accept insurance?

Yes, Dr. Sirisha Mandadi accepts insurance

Does Dr. Sirisha Mandadi offers telemedicine?

Dr. Sirisha Mandadi has not indicated if she offers telemedicine

What is Dr. Sirisha Mandadi ’s professional license number?

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What is Dr. Sirisha Mandadi ’s NPI number?

1215209366

Does Dr. Sirisha Mandadi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 021002794 IL
N 1223P0700X Prosthodontist 1001977 WI

National Provider Identifier

NPI 1215209366
Provider Name Dr. Sirisha Mandadi
First Address Naperville, IL 60564-1155
Second Address Crest Hill, IL 60403-1881
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/02/2012
Last Update Date 11/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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