Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | G87237 | CA |
N | 208200000X | Surgeon | G87237 | CA |
N | 208600000X | Surgeon | G87237 | CA |
N | 2086X0206X | Surgical Oncologist | G87237 | CA |
NPI | 1417078882 |
---|---|
Provider Name | Aloke Kumar Mandal |
First Address | Santa Ana, CA 92704-6917 |
Second Address | Santa Ana, CA 92704-6917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 20/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G48477 | (02) |