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Dr. Andrew David Mamalis, MD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1023350402

Andrew David Mamalis is a Student in an Organized Health Care Education/Training Program based in Brooklyn, CA. Andrew David Mamalis practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Andrew David Mamalis is 1023350402 and holds a License No. (California).

The current practice location address for Andrew David Mamalis is 4125 Bangs Ave, Modesto, CA and can be reached out via phone at 209-735-5510 and via fax at 209-557-1614.

Location: 4125 Bangs Ave, Modesto, CA, 11203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023350402
Provider Name
Andrew David Mamalis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4125 Bangs Ave, Modesto, CA, 11203
Phone Number
209-735-5510
Fax Number
209-557-1614
Provider Enumeration Date
03/22/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4125 Bangs Ave
City
Modesto
State
California
Zip
95356-8713
Phone Number
209-735-5510
Fax Number
209-557-1614
person
Provider Business Mailing Address Details
Address
4125 Bangs Ave
City
Modesto
State
California
Zip
95356-8713
Phone Number
209-735-5510
Fax Number
209-557-1614
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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