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

Likhith Sai Mandava

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700672888

Likhith Sai Mandava is a Student in an Organized Health Care Education/Training Program in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2

Practice location Address checks out

205 N East Ave Henry Ford Jackson Hospital
Jackson, MI 49201
Phone: (517) 205-7116
Fax: (517) 205-7050
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351055066 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700672888
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address205 N East Ave, Henry Ford Jackson Hospital, Jackson, MI 49201

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