Individual
AMANDA MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-2771
(330) 344-0071
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-2771
(330) 344-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-125813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137958
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/21/2007
Last updated
03/04/2016
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