Individual
KAUSHIK MANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 444-5891
(401) 444-8158
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012-01848
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
248501
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301500845
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D71376
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD20381
RI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD465533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046489900
—
MD
01
—
179WX
BCBS NC
NC
05
—
1982851028
—
NC
Enumeration date
08/20/2008
Last updated
02/04/2025
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