Individual
MAGIS MANDAPATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 FAME AVE STE 201, HANOVER, PA 17331-1587
(717) 633-9229
Mailing address
250 FAME AVE STE 201, HANOVER, PA 17331-1587
(717) 633-9229
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD483328
PA
2086X0206X
Surgical Oncology Physician
P96844
NY
Other
Enumeration date
06/03/2015
Last updated
11/20/2025
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