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

Maanasa Bandla

Individual provider Psychiatry Physician · NPI 1063972404

Maanasa Bandla is a Psychiatry Physician in Chicago, Illinois. Practices as a sole proprietor and works from 4 locations. Licensed in Illinois, Massachusetts and Virginia.

Licensed in
IL, MA, VA
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1747 W Roosevelt Rd
Chicago, IL 60608-1264
Phone: (312) 996-9593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 720 Harrison Ave Fl 9, Boston, MA 02118-2371 — (617) 638-8540
  • 125 Buena Vista Cir, South Hill, VA 23970-1431 — (434) 447-3151
  • 618 Hospital Rd, Tappahannock, VA 22560-5000 — (800) 762-6161

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036170900 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 281143 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0102208150 (VA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036.170900 (IL)

Record details

NPI number1063972404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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