Individual provider · Type 1 NPI

Andrew David Mamalis, MD

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1023350402 Active

Practice location

4125 Bangs Ave
Modesto, CA 95356-8713

Call (209) 735-5510 Map

Fax (209) 557-1614

Mailing address

Suny Downstate Medical Center, 450 Clarkson Avenue, Box 46
Brooklyn, NY 11203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20 other providers at this address

Other student in an organized health care education/training program providers in Modesto

See all in Modesto →

About NPI 1023350402

Andrew David Mamalis, MD's National Provider Identifier is 1023350402, issued on Mar 22, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Mar 5, 2024.