Mandelbaum, Mark Alon

Mandelbaum, Mark Alon is an individual health care provider with primary practice located at 4400 Broadway Ste. 520, Kansas City MO 64111-3498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mandelbaum, Mark Alon can be contacted via phone (816) 531-4080.

Contact Information

Primary practice address
4400 Broadway Ste. 520 Kansas City MO 64111-3498
Phone: (816) 531-4080
Fax: (816) 531-0281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J9748 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-20041 Kansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2014036763 Missouri

Profile Details

NPI number 1629033428
LBN Legal business name Mandelbaum, Mark Alon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 4th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629033428 NPPES
Missouri MEDICAID 1629033428

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