Mandel, Shlomo S.

Mandel, Shlomo S. is an individual health care provider with primary practice located at 311 Mack Ave Fl 5 , Detroit MI 48201-2466. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mandel, Shlomo S. can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
311 Mack Ave Fl 5 Detroit MI 48201-2466
Phone: (313) 916-2436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 4301048723 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301048723 Michigan

Profile Details

NPI number 1952477325
LBN Legal business name Mandel, Shlomo S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952477325 NPPES
Michigan Other MI3973577 MEDICARE PTAN
Michigan MEDICAID 1952477325 MEDICARE PTAN

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