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MANDELL & BLAU MD'S PC NPI 1801986526


NPI Information

NPI: 1801986526
Provider Name: MANDELL & BLAU, MD'S PC

Doing Business As: OPEN MRI AT BUCKLAND HILLS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
491 BUCKLAND RD
SUITE #3
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 648-4674
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MANDELL & BLAU, MD'S PC is a diagnostic radiology radiology in South Windsor, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MANDELL & BLAU, MD'S PC NPI is 1801986526. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri At Buckland Hills.

The provider's business location address is:

491 BUCKLAND RD
SUITE #3
SOUTH WINDSOR, CT
ZIP 06074-732
Phone: (860) 648-4674
Fax: (860) 648-2043

The provider's authorized official is Neal Barkoff .
The authorized official title is President and has the following contact phone number (860) 633-8806.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/15/2019.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1306085OTHERCONNECTICUTCONNECTICARE
2151700OTHERCONNECTICUTWELLCARE/PREFERRED ONE
32V0862OTHERCONNECTICUTHEALTHNET
4A369503OTHERCONNECTICUTOXFORD
5CF9509OTHERCONNECTICUTRAILROAD MEDICARE
615MRI0016CT01OTHERCONNECTICUTANTHEM BC/BS
74000931MEDICAIDCONNECTICUT

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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