IndividualActive
Bela Mandavilli, M.D.
NPI 1417948712 · Anatomic Pathology & Clinical Pathology Physician · East Hartford, CT
Provider details
- NPI number
- 1417948712
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 037000 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Founders Plz
#300 C/O Ipms
East Hartford, CT 06108-3212
Phone: (860) 282-4137
Fax: (860) 282-0170
Approximate (ZIP-level) locationGet directions
Mailing address
41 Brewster Rd
Bristol, CT 06010-5161
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.