Individual
DR. CHRISTOS E MANDANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 N HILLSIDE ST, WICHITA, KS 67214-3219
(316) 616-3333
(316) 616-0974
Mailing address
925 N HILLSIDE ST, WICHITA, KS 67214-3219
(316) 616-3333
(316) 616-0974
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-33570
KS
207RC0000X
Cardiovascular Disease Physician
MD00040025
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
04-33570
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542020A
—
OK
05
—
200611360A
—
KS
05
—
200611360C
—
KS
05
—
8297434
—
WA
05
—
924575
—
AZ
Enumeration date
01/19/2007
Last updated
11/17/2021
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