Mandelbaum, David M
Mandelbaum, David M is an individual health care provider with primary practice located at 8111 S Emerson Ave Fl 5 , Indianapolis IN 46237-8601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mandelbaum, David M can be contacted via phone (317) 528-8930.Contact Information
Primary practice address
8111 S Emerson Ave Fl 5
Indianapolis IN 46237-8601
Phone: (317) 528-8930
Fax: (317) 528-8532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01030405B | Indiana |
Profile Details
| NPI number | 1932173788 |
|---|---|
| LBN Legal business name | Mandelbaum, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jun 2nd, 2023 - about last year |
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 | 1932173788 | NPPES |
| Indiana | MEDICAID | 100226890A | |
| Indiana | Other | 100003567 |
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