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NPI Code Detail

MEDICARE: RICHARD M MANDEL MD PLLC

MEDICARE: RICHARD M MANDEL MD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician14771AZ

General Provider Information

NPI Number : 1588895627
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD M MANDEL MD PLLC
Provider Business Mailing Address
First Line : PO BOX 35781
Second Line :
City : TUCSON
State : AZ
Zip : 85740-5781
Country : US
Telephone Number : 520-991-8514
Fax Number : 520-296-7410
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 520-991-8514
Fax Number : 520-296-7410
Authorized Official
Title or Position : OWNER, PROVIDER
Name : DR. RICHARD MANDEL
Credential : MD
Telephone Number : 520-991-8514
Provider Enumeration Date : 08/06/2009
Last Update Date : 02/04/2026

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