Mandal, Vanessa Jaiashree
Mandal, Vanessa Jaiashree is an individual health care provider with primary practice located at 2110 Professional Drive Suite 120, Roseville CA 95661-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mandal, Vanessa Jaiashree can be contacted via phone (916) 536-2500.Contact Information
Primary practice address
2110 Professional Drive Suite 120
Roseville CA 95661-0000
Phone: (916) 536-2500
Fax: (281) 545-1442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M1435 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C55495 | California |
Profile Details
| NPI number | 1114981818 |
|---|---|
| LBN Legal business name | Mandal, Vanessa Jaiashree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 25th, 2012 - about 14 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 | 1114981818 | NPPES |
| Texas | MEDICAID | 178386201 | |
| Texas | Other | 8G6218 | |
| Texas | Other | P00301395 | |
| Texas | Other | MD1435TX |
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