Provider Demographics
NPI:1740771401
Name:MANDIGA, PUJYITHA (MD)
Entity type:Individual
Prefix:DR
First Name:PUJYITHA
Middle Name:
Last Name:MANDIGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9403 CROWN CREST BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-9049
Mailing Address - Country:US
Mailing Address - Phone:303-925-4720
Mailing Address - Fax:303-925-4721
Practice Address - Street 1:9403 CROWN CREST BLVD STE 420
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-9049
Practice Address - Country:US
Practice Address - Phone:303-925-4720
Practice Address - Fax:303-925-4721
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301115409207R00000X
CODR.72841207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine