Individual
MANDY M CABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5017 SURREY LANE, CARMEL, IN 46033-9606
(574) 274-9147
Mailing address
5017 SURREY LANE, CARMEL, IN 46033-9606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007569
—
IN
01
—
P01291702
RAILROAD MEDICARE
IN
Enumeration date
01/12/2007
Last updated
10/30/2024
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