Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLY M MANDICHAK
Active Sole ProprietorSALLY M MANDICHAK is a Emergency Medicine healthcare provider located in RENO, Nevada. NPI 1124547930 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · RENO, NV
Registration Details
- NPI Number
- 1124547930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2017 (8.9648607434326 yrs)
- Last Updated
- Dec 4, 2023
- License
-
0101267386 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
740 CALIFORNIA AVERENO, NV, 89509Browse NV providers · Browse ZIP 89509
- Phone
- 7752335300
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in RENO, NV
| Name | Credential | NPI |
|---|---|---|
| DENNIS CHARLES LEMON | DO | 1437151073 |
| DR. ANDREW DOUGLAS COLEY | MD | 1578551263 |
| DR. BROCK BOSCOVICH | MD | 1689658270 |
| DR. DOUGLAS EDWARD CANHAM | MD | 1588640445 |
| DR. SCOTT FRANKLIN SHEPHERD | M.D. | 1033183470 |
| MARK C GUNDERSON | MD | 1588623789 |
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.