Individual
DR. MUBEEN MANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2800 BUFORD DRIVE, BUFORD, GA 30519
(770) 476-3636
Mailing address
35 LONGWELL LOOP, LITTLE ROCK, AR 72211-2193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99360
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
04/15/2024
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