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

Dr. Vasudevarao Mandava, MD

Individual provider Internal Medicine Physician · NPI 1073501821

Dr. Vasudevarao Mandava, MD is an Internal Medicine Physician in Mount Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
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

18 Market St Ste C
Mount Clemens, MI 48043
Phone: (586) 783-2222
Fax: (586) 783-6280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence VM031566 (MI)

Record details

NPI number1073501821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address6800 E 10 Mile Rd, Center Line, MI 48015-1167

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