Dhadly, Mandeep S.
Dhadly, Mandeep S. is an individual health care provider with primary practice located at 133 Brookline Ave Cardiology Dept, Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dhadly, Mandeep S. can be contacted via phone (617) 421-6050.Contact Information
Primary practice address
133 Brookline Ave Cardiology Dept
Boston MA 02215-3904
Phone: (617) 421-6050
Fax: (617) 421-6083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 81869 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 81869 | Massachusetts |
Profile Details
| NPI number | 1730144981 |
|---|---|
| LBN Legal business name | Dhadly, Mandeep S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Feb 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730144981 | NPPES |
| Massachusetts | MEDICAID | 3155463 |
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