Mandalakas, Anna M

Mandalakas, Anna M is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Mandalakas, Anna M can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 35-072385 Ohio

Profile Details

NPI number 1720006620
LBN Legal business name Mandalakas, Anna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 20th, 2011 - about 15 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 1720006620 NPPES
Ohio Other 000000183305 ANTHEM
Ohio Other 2012575 ANTHEM
Ohio Other 363801 ANTHEM
Ohio Other 000000221080 ANTHEM
Ohio Other 000000526102 ANTHEM
Ohio MEDICAID 2012575 ANTHEM
Ohio Other 2352239 ANTHEM

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