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Contact Information

ANNA M MANDALAKAS, MD
11100 EUCLID AVE
CLEVELAND, OH44106-1716
 Phone: 216-844-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANNA M MANDALAKAS · (Female)

NPI # 1720006620
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 07/20/2011 - About 15 years ago
Sole proprietor 1 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(s) Not Available
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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