Healthcare Provider Details

I. General information

NPI: 1447180765
Provider Name (Legal Business Name): ANJALI MANDAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S AVENUE A, ONVIDA HEALTH YUME MEDICAL CENTER
YUMA AZ
85364
US

IV. Provider business mailing address

2400 S AVENUE A, ONVIDA HEALTH YUME MEDICAL CENTER
YUMA AZ
85364
US

V. Phone/Fax

Practice location:
  • Phone: 928-344-2000
  • Fax:
Mailing address:
  • Phone: 928-344-2000
  • Fax: 928-336-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: