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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932173788 NPPES
Indiana MEDICAID 100226890A
Indiana Other 100003567

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