Mahmoodi, Mandana

Mahmoodi, Mandana is an individual health care provider with primary practice located at 15 Crawford St Ste 100 , Needham MA 02494-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Mahmoodi, Mandana can be contacted via phone (617) 969-4100.

Contact Information

Primary practice address
15 Crawford St Ste 100 Needham MA 02494-2618
Phone: (617) 969-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 233840 Massachusetts

Profile Details

NPI number 1982892121
LBN Legal business name Mahmoodi, Mandana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Mar 21st, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982892121 NPPES
Massachusetts MEDICAID 9787194
Massachusetts Other M17162
Massachusetts Other 800887

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