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NPI Verification

National Provider Identifier: 1255492104

Kelly Ann Mandagere, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Internal Medicine

Code: 207R00000X

Practice Address

892 W SOUTH BOULDER RD

LOUISVILLE, CO 800272453

Phone: 303-586-5200

NPI Enumeration Date

December 13, 2006

NPI Number

1255492104

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry