Patel, Mandakini D

Patel, Mandakini D is an individual health care provider with primary practice located at 175 N Jackson Ave Ste 210, San Jose CA 95116-1909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Patel, Mandakini D can be contacted via phone (408) 729-1220.

Contact Information

Primary practice address
175 N Jackson Ave Ste 210 San Jose CA 95116-1909
Phone: (408) 729-1220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A41030 California

Profile Details

NPI number 1821072505
LBN Legal business name Patel, Mandakini D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 19 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 1821072505 NPPES
Other 4050360 AETNA
Other 2361709 AETNA
MEDICAID 00A410300 AETNA

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