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

Dr. Sanjay Mandava, MD

Individual provider Internal Medicine Physician · NPI 1386579431

Dr. Sanjay Mandava, MD is an Internal Medicine Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
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

751 N Rutledge St Rm 1100
Springfield, IL 62702-4968
Phone: (217) 545-3134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125088498 (IL)

Record details

NPI number1386579431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026
Mailing addressPo Box 19636, Springfield, IL 62794-9636

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