Healthcare Provider Details

I. General information

NPI: 1972449353
Provider Name (Legal Business Name): DAVID MANDEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 EAST THIRD STREET, HOSPITAL BOX 12
CHATTANOOGA TN
37403
US

IV. Provider business mailing address

975 EAST THIRD STREET, HOSPITAL BOX 12
CHATTANOOGA TN
37403
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8179
  • Fax: 423-778-3180
Mailing address:
  • Phone: 423-778-8179
  • Fax: 423-778-3180

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: