# DR TERRY MANDEL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235320367
- **Authorized official:** DR. TERRY JAY MANDEL DO (PHYSICIAN)
- **Authorized official phone:** (317) 299-2664

## Contact information

- **Practice address:** 4007 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2712
- **Practice address phone:** (317) 299-2664
- **Practice address fax:** (317) 299-2665
- **Mailing address:** 4007 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2712
- **Mailing address phone:** (317) 299-2664
- **Mailing address fax:** (317) 299-2665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02000682 | IN | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 10/13/2011