Individual
DR. SANAT KUMAR MANDAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
829 SPRUCE ST, SUITE 105, PHILADELPHIA, PA 19107-5752
(215) 829-3530
(215) 829-3090
Mailing address
829 SPRUCE ST, SUITE 105, PHILADELPHIA, PA 19107-5752
(215) 829-3530
(215) 829-3090
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD034154L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007909550001
—
PA
Enumeration date
05/30/2006
Last updated
07/09/2007
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