Doctor Name: | MANDAKINI Y TAMASKAR |
NPI Number: | 1063401552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35-041045 |
Business Practice Address: | 400 Wabash Ave Akron, OH - 443072433 |
Business Phone Number: | 3303446000 |
Business Fax Number: | |
Mailing Address: | Po Box 931885, CLEVELAND |
State: | OH |
Postal Code: | 441930004 |
Phone Number: | 4408790081 |
Fax Number: | 4408790084 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-041045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |