Mandell, Ira
Mandell, Ira is an individual health care provider with primary practice located at 25 Crossroads Dr Suite 205, Owings Mills MD 21117-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mandell, Ira can be contacted via phone (410) 602-7792.Contact Information
Primary practice address
25 Crossroads Dr Suite 205
Owings Mills MD 21117-5421
Phone: (410) 602-7792
Fax: (410) 602-9889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D22833 | Maryland |
Profile Details
| NPI number | 1730187576 |
|---|---|
| LBN Legal business name | Mandell, Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Sep 16th, 2011 - about 13 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 | 1730187576 | NPPES |
| Maryland | MEDICAID | 782461100 |
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