Mandell, Gerald A
Mandell, Gerald A is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Mandell, Gerald A can be contacted via phone (602) 933-1213.Contact Information
Primary practice address
1919 E Thomas Rd
Phoenix AZ 85016-7710
Phone: (602) 933-1213
Fax: (602) 933-1214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 30266 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | C10002298 | Delaware |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME84107 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30266 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 30266 | Arizona |
Profile Details
| NPI number | 1548251135 |
|---|---|
| LBN Legal business name | Mandell, Gerald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Sep 18th, 2017 - about 7 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 | 1548251135 | NPPES |
| Arizona | MEDICAID | 689432 | |
| Arizona | MEDICAID | 91013900 | |
| Arizona | MEDICAID | 1197546 | |
| Arizona | MEDICAID | 5166900 | |
| Arizona | MEDICAID | 7703716 |
Popular Providers
-
Goncalves, Luis F
1919 E Thomas Rd , Phoenix AZ 85016 -
Naidu, Padmaja K
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Youssfi, Mostafa
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Schaefer, Carrie M
1919 E Thomas Rd East Building, Phoenix AZ 85016-7710 -
Manger, Marc N
10645 N Tatum Blvd Suite 200, Pmb 611, Phoenix AZ 85028-3068 -
Bailey, Smita Sane
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Van Tassel, Dane
2929 E Thomas Rd , Phoenix AZ 85016 -
Kaye, Robin D
1919 E Thomas Rd , Phoenix AZ 85016-7710