National Provider Identifier Database

ANNA M MANDALAKAS, MD – NPI #1720006620
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

ANNA M MANDALAKAS, MD
11100 EUCLID AVE
CLEVELAND, OH44106-1716
Phone: 216-844-7700
Fax:
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X

* Indicates primary specialty

NPI Profile & details for ANNA M MANDALAKAS

NPI Number 1720006620
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 07/20/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35-072385
  • OH Medicaid: 2012575
  • Other: 000000221080 UNISON
  • OH Other: 2352239 AETNA
  • OH Other: 000000183305 ANTHEM
  • OH Other: 000000526102 ANTHEM
  • OH Other: 2012575 BCMH
  • OH Other: 363801 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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