Mamalis, Andrew David

Mamalis, Andrew David is an individual health care provider with primary practice located at 4125 Bangs Ave , Modesto CA 95356-8713. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Mamalis, Andrew David can be contacted via phone (209) 735-5510.

Contact Information

Primary practice address
4125 Bangs Ave Modesto CA 95356-8713
Phone: (209) 735-5510
Fax: (209) 557-1614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1023350402
LBN Legal business name Mamalis, Andrew David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Mar 5th, 2024 - about 2 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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