Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MANDAL'S CONSERVATIVE NEPHROLOGY PRACTICE, LLC
Active
Organization
MANDAL'S CONSERVATIVE NEPHROLOGY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR MANDAL M.D. (OWNER)
(904) 305-1234
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR, PALATKA, FL 32177-3883
(904) 824-8158
Mailing address
800 ZEAGLER DR, PALATKA, FL 32177-3883
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0074439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255413500
—
FL
Enumeration date
03/17/2016
Last updated
03/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up