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Contact Information

KAUSHIK MANDAL, MD
2 DUDLEY ST
PROVIDENCE, RI02905-3236
 Phone: 401-444-5891
 Fax: 401-444-8158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KAUSHIK MANDAL · (Male)

NPI Number 1982851028
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2008
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # 248501
  • MD License # D71376
  • MI License # 4301500845
  • NC License # 2012-01848
  • PA License # MD465533
  • RI License # MD20381
  • MD Medicaid 046489900
  • NC Medicaid 1982851028
  • NC Other 179WX BCBS NC
Hospital affiliation(s)
  • HARPER UNIVERSITY HOSPITAL - (Acute Care)
    3990 JOHN R STREET
    DETROIT, MI 48201
  • SINAI-GRACE HOSPITAL - (Acute Care)
    6071 W OUTER DRIVE
    DETROIT, MI 48235
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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