Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KUMAR S MANDAL, M.D.
Deactivated Sole ProprietorDR. KUMAR S MANDAL, M.D. is a Adolescent Medicine healthcare provider located in SHIRLEY, New York. NPI 1689676884 is deactivated in the NPPES registry. Verify at CMS.
Adolescent Medicine · SHIRLEY, NY
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689676884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (0.8 yrs)
- Last Updated
- Jun 2, 2015
- Deactivated
- Mar 20, 2006
- License
-
182787 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 CORACI BLVDSTE 10SHIRLEY, NY, 119674833Browse NY providers · Browse ZIP 11967
- Phone
- 6312812600
- Fax
- 6312816732
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.