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MARTIN L MANDEL M. D.INC NPI 1760516801


NPI Information

NPI: 1760516801
Provider Name: MARTIN L MANDEL M. D.,INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
36100 EUCLID AVE
SUITE 320
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 951-1073
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MARTIN L MANDEL M. D.,INC is a specialist in Willoughby, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARTIN L MANDEL M. D.,INC NPI is 1760516801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36100 EUCLID AVE
SUITE 320
WILLOUGHBY, OH
ZIP 44094-456
Phone: (440) 951-1073
Fax: (440) 951-1844

The provider's authorized official is Martin L Mandel .
The authorized official title is Physician and has the following contact phone number (440) 951-1073.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35034980OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C01443MEDICARE UPINOHIO
2000000129519OTHEROHIOANTHEM
3MA0433092MEDICARE ID-TYPE UNSPECIFIEDOHIO
40332689MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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