DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEFAN ALEXIS MANDAKOVIC, M.D

Active Sole Proprietor

STEFAN ALEXIS MANDAKOVIC, M.D is a Student (Health Education/Training) healthcare provider located in WASHINGTON, Washington D.C.. NPI 1063725455 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · WASHINGTON, DC

Registration Details

NPI Number
1063725455
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2010 (16.096442873196 yrs)
Last Updated
Jun 28, 2013
License
MT196803 (PA)
Sole Proprietor
Yes

Practice Information

Address
111 MICHIGAN AVE NW
WASHINGTON, DC, 200102916
Browse DC providers · Browse ZIP 20010
Phone
2024763521
Fax
2024765864
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in WASHINGTON, DC

Name Credential NPI
DR. JENNIFER RAGAN RUSSELL D.O. 1861465361
MS. TIFFANY B. MOSLEY M.D 1174720718
AKBAR MUHAMMAD DDS 1023299310
DR. JEAN-JAMIL ROJER 1922289214
PROBAL ROY 1649447640
DR. ADAM SCHIFFENBAUER MD 1235306606
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.