Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mithra Maneyapanda, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1104189174

Dr. Mithra Maneyapanda, MD is a Physical Medicine and Rehabilitation in Malvern, Pennsylvania. Graduated from Rutgers New Jersey Medical School in 2012, 14 years ago. Practices with Rehabilitation Associates of the Main Line, PC, a 14-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Rutgers New Jersey Medical School
Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

414 Paoli Pike
Malvern, PA 19355-3311
Phone: (484) 596-5400
Fax: (484) 413-2603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD459889 (PA)

Record details

NPI number1104189174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESApril 30, 2019
Mailing address414 Paoli Pike, Malvern, PA 19355-3311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Rehabilitation Associates Of The Main Line, P.C. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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