Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.129638 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 2019-02516 | NC |
NPI | 1558778498 |
---|---|
Provider Name | Yamini Mandelia |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2014 |
Last Update Date | 11/12/2020 |