Mahmoodi, Mandana
Mahmoodi, Mandana is an individual health care provider with primary practice located at 15 Crawford St Ste 100 , Needham MA 02494-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Mahmoodi, Mandana can be contacted via phone (617) 969-4100.Contact Information
Primary practice address
15 Crawford St Ste 100
Needham MA 02494-2618
Phone: (617) 969-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 233840 | Massachusetts |
Profile Details
| NPI number | 1982892121 |
|---|---|
| LBN Legal business name | Mahmoodi, Mandana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Mar 21st, 2018 - about 7 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 | 1982892121 | NPPES |
| Massachusetts | MEDICAID | 9787194 | |
| Massachusetts | Other | M17162 | |
| Massachusetts | Other | 800887 |
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