Mandy M Caban, PA
Physician Assistant in Carmel, IN. Individual provider (NPI-1).
NPI number1811047574
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1811047574
- Entity type
- Individual (NPI-1)
- Name
- Mandy M Caban
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2007
- Certification date
- Oct 25, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10000881A | IN | Yes |
Practice location
5017 Surrey LaneCarmel, IN 46033-9606
Phone 574-274-9147
Mailing address
5017 Surrey LaneCarmel, IN 46033-9606
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