Raul N Mandler, Md, Llc | |
6000 Executive Blvd North Bethesda MD 20852-3803 | |
(202) 550-6601 | |
Not Available |
Full Name | Raul N Mandler, Md, Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 6000 Executive Blvd, North Bethesda, Maryland |
Authorized Official Name and Position | Raul N Mandler (SOLE OWNER) |
Authorized Official Contact | 2025506601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raul N Mandler, Md, Llc Po Box 298 Cabin John MD 20818-0298 Ph: () - | Raul N Mandler, Md, Llc 6000 Executive Blvd North Bethesda MD 20852-3803 Ph: (202) 550-6601 |
NPI Number | 1740433812 |
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Provider Enumeration Date | 11/02/2008 |
Last Update Date | 10/05/2010 |
Medicare PECOS PAC ID | 5092874131 |
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Medicare Enrollment ID | O20081105000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740433812 | NPI | - | NPPES |
14957 | Other | DC | DISTRICT OF COLUMBIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | D0055311 (Maryland) | Primary |
Provider Name | Raul N Mandler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366576803 PECOS PAC ID: 3476612516 Enrollment ID: I20081105000109 |
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