Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW DAVID MAMALIS, MD
ActiveDR. ANDREW DAVID MAMALIS, MD is a Student (Health Education/Training) healthcare provider located in MODESTO, California. NPI 1023350402 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MODESTO, CA
Registration Details
- NPI Number
- 1023350402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2013 (13.361963336731 yrs)
- Last Updated
- Mar 5, 2024
Practice Information
- Address
-
4125 BANGS AVEMODESTO, CA, 953568713Browse CA providers · Browse ZIP 95356
- Phone
- 2097355510
- Fax
- 2095571614
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| ANDERS E GRANT | MD | 1093706244 |
| MS. SHELLY DENISE BOOKER | — | 1972677839 |
| BRENT HART | — | 1861524472 |
| JEREMY PANNELL II | — | 1376663328 |
| DIANA LYN BRASIL | — | 1629199609 |
| DARCY LEIGH VAUGHN | — | 1629190483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.