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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1952477325 | NPPES |
Michigan | Other | MI3973577 | MEDICARE PTAN |
Michigan | MEDICAID | 1952477325 | MEDICARE PTAN |
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