Mandal, Kaushik
Mandal, Kaushik is an individual health care provider with primary practice located at 6001 W Outer Dr Ste 300 , Detroit MI 48235-2626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Mandal, Kaushik can be contacted via phone (313) 832-0650.Contact Information
Primary practice address
6001 W Outer Dr Ste 300
Detroit MI 48235-2626
Phone: (313) 832-0650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2012-01848 | North Carolina |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD465533 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | D71376 | Maryland |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 248501 | Maryland |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 4301500845 | Michigan |
Profile Details
| NPI number | 1982851028 |
|---|---|
| LBN Legal business name | Mandal, Kaushik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Oct 28th, 2019 - about 6 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 | 1982851028 | NPPES |
| North Carolina | MEDICAID | 1982851028 | |
| North Carolina | MEDICAID | 046489900 | |
| North Carolina | Other | 179WX |
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