Mandilawi, Sadiq

Mandilawi, Sadiq is an individual health care provider with primary practice located at 1234 Foothill Blvd , La Verne CA 91750-3329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Mandilawi, Sadiq can be contacted via phone (909) 596-4879.

Contact Information

Primary practice address
1234 Foothill Blvd La Verne CA 91750-3329
Phone: (909) 596-4879
Fax: (909) 596-9199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A34207 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A34207 California

Profile Details

NPI number 1295716736
LBN Legal business name Mandilawi, Sadiq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 28th, 2017 - about 8 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 1295716736 NPPES
California MEDICAID 00A342070
California Other CB220525

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