Individual
DR. ATASHI MANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 610-7245
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80287
CA
208000000X
Pediatrics Physician
A80287
CA
208M00000X
Hospitalist Physician
Primary
A80287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A802870
—
CA
01
—
CB233919
MEDICARE PTAN
CA
01
—
P00727511
MEDICARE RAILROAD
CA
01
—
WA80287B
MEDICARE PTAN (OLD)
CA
Enumeration date
01/30/2007
Last updated
11/29/2021
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