Likhith Sai Mandava Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Jackson, MI
- NPI
- 1700672888
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 4351055066 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-04-16
- Last updated
- 2025-10-08
Practice location
205 N East Ave, Henry Ford Jackson Hospital
Jackson, MI 49201
(517) 205-7116