Dr. Anil Mandal , MD
Internal Medicine - Nephrology • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anil Mandal has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Anil Mandal, MD was a registered Internal Medicine - Nephrology practicing in St Augustine, FL. Throughout an active medical career spanning 12 years, Dr. Mandal provided care at the practice location at 665 STATE ROAD 207 until profile deactivation on 2018-09-20.
Practice Location & Contact Primary Location
665 State Road 207
Suite 102
St Augustine, FL 320845938
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine - Nephrology in St Augustine, FL
Practicing in St Augustine, FL (865 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207RN0300X
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2018
NPI status registered as active in NPPES database
Registered at 665 STATE ROAD 207, SUITE 102, ST AUGUSTINE, FL 320845938 (Tel: 9048248158)
Registered at PO BOX 551308, JACKSONVILLE, FL 322551308 (Tel: 9044933333)
Recorded as ANIL MANDAL, MD
Internal Medicine (License #ME0074439 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 551308
Jacksonville, FL 322551308
Phone: 9044933333
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