NPI 1477551869

Suresh Mandava, MD

Practitioner Ophthalmology Physician Stamford, CT

Practice location

Address: 2046 W Main St STE 2, Stamford, CT 06902-4523
Phone: (203) 869-3082
Fax: (203) 869-6453

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 036932 (CT)

Other Ophthalmology providers in Connecticut →

Registry record

NPI: 1477551869
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2005
Record last updated: 27 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.