Doctor profile · Federal record

Dr. Vasudevarao Mandava, M.D

Internal Medicine Physician · Mount Clemens, MI

  • NPI 1073501821
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
18 Market St, Suite C
Mount Clemens, MI 48043
(586) 783-2222
fax (586) 783-6280
Mailing address
6800 E 10 Mile RD
Center Line, MI 480151167

Credentials & registration

NPPES · NUCC
NPI registered
October 2005 — 21 yrs on file
Profile last updated
September 24, 2020
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Michigan #VM031566
Medicaid
MI #1096276

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073501821. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$124
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals LP 1 $123.50

By nature of payment

Food and Beverage
$124

Frequently asked questions

Auto-generated from federal data
What is Dr. Vasudevarao Mandava's medical specialty?
Dr. Vasudevarao Mandava practices Internal Medicine Physician in Mount Clemens, MI.
Where does Dr. Vasudevarao Mandava practice?
Dr. Vasudevarao Mandava practices at 18 Market St, Mount Clemens, MI 48043. Office phone: 5867832222.
What is Dr. Vasudevarao Mandava's NPI?
Dr. Vasudevarao Mandava's National Provider Identifier (NPI) is 1073501821, issued by NPPES.