Mandal'S Conservative Nephrology Practice, Llc

LBN: Mandal'S Conservative Nephrology Practice, Llc
Mandal'S Conservative Nephrology Practice, Llc is an health care organization with primary practice located at 800 Zeagler Dr , Palatka FL 32177-3883. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Mandal'S Conservative Nephrology Practice, Llc can be contacted via phone (904) 824-8158, or through Mandal, Anil Kumar via phone (904) 305-1234.

Contact Information

Primary practice address
800 Zeagler Dr Palatka FL 32177-3883
Phone: (904) 824-8158
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mandal, Anil Kumar Doctor of Medicine (MD)
Phone: (904) 305-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0074439 Florida

Profile Details

NPI number 1376904417
LBN Legal business name Mandal'S Conservative Nephrology Practice, Llc
DBA Doing business as
Authorized official Mandal, Anil Kumar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376904417 NPPES
Florida MEDICAID 255413500

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