Mandrola, John M

Mandrola, John M is an individual health care provider with primary practice located at 3900 Kresge Way Suite 60, Louisville KY 40207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mandrola, John M can be contacted via phone (502) 893-7710.

Contact Information

Primary practice address
3900 Kresge Way Suite 60 Louisville KY 40207
Phone: (502) 893-7710
Fax: (502) 893-1391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32628 Kentucky
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 32628 Kentucky

Profile Details

NPI number 1386676658
LBN Legal business name Mandrola, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 11th, 2020 - about 5 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 1386676658 NPPES
Kentucky MEDICAID 64326283
Kentucky MEDICAID 200060360A
Kentucky MEDICAID 200060360F

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