Davani, Mandana
Davani, Mandana is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Davani, Mandana can be contacted via phone (904) 819-4398.Contact Information
Primary practice address
400 Health Park Blvd Attn: Radiology Department
Saint Augustine FL 32086-5784
Phone: (904) 819-4398
Fax: (904) 819-4976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME77783 | Florida |
Profile Details
| NPI number | 1003883885 |
|---|---|
| LBN Legal business name | Davani, Mandana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | May 17th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003883885 | NPPES |
| Florida | Other | 300121884 | RAILROAD MEDICARE |
| Florida | MEDICAID | 256343600 | RAILROAD MEDICARE |
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