Mandichak, Mark

Mandichak, Mark is an individual health care provider with primary practice located at 500 Martha Jefferson Dr , Charlottesville VA 22911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mandichak, Mark can be contacted via phone (434) 654-7580.

Contact Information

Primary practice address
500 Martha Jefferson Dr Charlottesville VA 22911
Phone: (434) 654-7580
Fax: (434) 654-7582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101246995 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101246995 Virginia

Profile Details

NPI number 1386849644
LBN Legal business name Mandichak, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Aug 30th, 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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