Individual
MOHAMED NEDHAL ALI ABDULLA MANDEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 266-7856
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301115426
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01096544A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.156772
IL
Other
Enumeration date
05/30/2018
Last updated
09/02/2025
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