Individual provider · NPI-1

Kaushik Mandal, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Providence, RI

NPI number1982851028

StatusActive

Last updated in NPPESJun 22, 2026

Details

NPI: 1982851028
Entity type: Individual (NPI-1)
Name: Kaushik Mandal
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Aug 20, 2008
Certification date: Jun 22, 2026
Last updated: Jun 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	MD20381	RI	Yes
208600000X	Surgery	2012-01848	NC
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	4301500845	MI
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	MD465533	PA
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	1020597	MA
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	248501	MD
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	D71376	MD

Practice location

2 Dudley St
Providence, RI 02905-3236

Phone 401-444-5891 · Fax 401-444-8158

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Phone 401-444-6779 · Fax 401-444-6912

Other practice locations

531 Faunce Corner Rd
North Dartmouth, MA 02747-1242

Phone 508-996-3991

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