Individual
DR. SHAI Y MANDELBOIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01081671A
IN
207R00000X
Internal Medicine Physician
57.022630
OH
208M00000X
Hospitalist Physician
MD174768
OR
Other
Enumeration date
08/13/2013
Last updated
12/27/2022
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