Individual
AIDA L MANDAPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2182
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35038328
OH
208D00000X
General Practice Physician
35038328M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872588
—
OH
Enumeration date
09/06/2005
Last updated
02/27/2009
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