Terry Jay Mandel in Indianapolis - Family Medicine
Terry Jay Mandel - NPI 1568475754
Terry Jay Mandel is a Family Medicine in Indianapolis, Indiana. Terry Jay Mandel practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Terry Jay Mandel is 1568475754. The last update date is 2015-04-14.
Terry Jay Mandel's current location address is 6626 E 75th St, Indianapolis, Indiana. You can contact this provider via phone number 3176217584 and fax number 3179572705. The mailing address for Terry Jay Mandel is 6626 E 75th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Jay Mandel |
|---|---|
| Address | 6626 E 75th St, Indianapolis, Indiana |
| Phone Number | 3176217584 |
| Fax Number | 3179572705 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1568475754 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2015-04-14 |
Provider Mailing Address Detail
| Address | 6626 E 75th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502805 |
| Phone Number | 3176217584 |
| Fax Number | 3179572705 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2000682 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01424415 | IN | RAIL ROAD PTAN | |
| 100073840 | IN | -- | |
| 752860 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terry Jay Mandel by the Centers for Medicare & Medicaid Services?
The Terry Jay Mandel has been assigned the NPI (National Provider Identifier) 1568475754 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Terry Jay Mandel?
The Terry Jay Mandel is physically situated at 6626 E 75Th St, in the city of Indianapolis, state of IN, with the postal code 462502805.
What is Terry Jay Mandel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terry Jay Mandel is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Terry Jay Mandel receive its 1568475754 assignment from the Centers for Medicare & Medicaid Services?
The Terry Jay Mandel was assigned its 1568475754 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date were the details related to Terry Jay Mandel most recently updated or revised?
The information pertaining to Terry Jay Mandel, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-14.