Mandviwala, Aqeel H

Mandviwala, Aqeel H is an individual health care provider with primary practice located at 1210 W 5Th St , London KY 40741-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mandviwala, Aqeel H can be contacted via phone (606) 864-4030.

Contact Information

Primary practice address
1210 W 5Th St London KY 40741-2112
Fax: (606) 864-0115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31400 Kentucky

Profile Details

NPI number 1326016460
LBN Legal business name Mandviwala, Aqeel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 2nd, 2019 - 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 1326016460 NPPES
Kentucky MEDICAID 64314016

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