Dr Terry Mandel INC
Family Medicine in Indianapolis, IN. Organization (NPI-2).
NPI number1235320367
StatusActive
Last updated in NPPESOct 13, 2011
Details
- NPI
- 1235320367
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Terry Mandel INC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2007
- Last updated
- Oct 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02000682 | IN | Yes |
Practice location
4007 N High School RdIndianapolis, IN 46254-2712
Phone 317-299-2664 · Fax 317-299-2665
Mailing address
4007 N High School RdIndianapolis, IN 46254-2712
Phone 317-299-2664 · Fax 317-299-2665
Authorized official
Terry Jay Mandel
Physician
3172992664
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