Individual
DR. MAIKEL MANKARIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./M.B.A.
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2045
(310) 315-1000
Mailing address
56 IFFLEY RD, JAMAICA PLAIN, MA 02130-2307
(310) 266-3547
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
235781
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A120948
CA
Other
Enumeration date
06/10/2008
Last updated
10/31/2023
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