Provider Demographics
NPI:1578668406
Name:MANDELL, SUE A (MD)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:A
Last Name:MANDELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 GAGE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-737-3402
Mailing Address - Fax:509-783-3194
Practice Address - Street 1:7350 W DESCHUTES AVE
Practice Address - Street 2:BLDG A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7802
Practice Address - Country:US
Practice Address - Phone:509-783-9894
Practice Address - Fax:509-783-3194
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD603738332085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology