Individual
MAHLON VANDELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W NIFONG BLVD, BUILDING 3, SUITE 100, COLUMBIA, MO 65203-5615
(573) 214-2000
(573) 214-2042
Mailing address
1000 W NIFONG BLVD, BUILDING 3, SUITE 100, COLUMBIA, MO 65203-5615
(573) 214-2000
(573) 214-2042
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01048581A
IN
207Y00000X
Otolaryngology Physician
Primary
101110
MO
207Y00000X
Otolaryngology Physician
34110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045661
ANTHEM
IN
01
—
000000045661
ANTHEM
KY
01
—
040013796
RR MEDICARE
KY
01
—
065102
HEALTH ALLIANCE
IN
05
—
200181080A
—
IN
01
—
382908
HEALTHLINK
IN
05
—
64341019
—
KY
01
—
P00153580
RR MEDICARE
IN
Enumeration date
10/17/2005
Last updated
02/17/2011
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