Mansabdar, Madhura

Mansabdar, Madhura is an individual health care provider with primary practice located at 411 W Broadway St Suite A, Mt Pleasant MI 48858-2402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mansabdar, Madhura can be contacted via phone (989) 772-9523.

Contact Information

Primary practice address
411 W Broadway St Suite A Mt Pleasant MI 48858-2402
Phone: (989) 772-9523
Fax: (989) 772-9052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301070805 Michigan

Profile Details

NPI number 1639119373
LBN Legal business name Mansabdar, Madhura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 26th, 2012 - about 12 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 1639119373 NPPES
Michigan MEDICAID 4565207-10
Michigan Other 1007076
Michigan Other 1103710561
Michigan Other 0988830
Michigan Other 200000008878
Michigan MEDICAID 4270238-10

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