Provider Demographics
NPI:1851508998
Name:MANDAPAT, AIMEE LUNA (MD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:LUNA
Last Name:MANDAPAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:75 ARCH ST
Mailing Address - Street 2:SUITE 506
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1429
Mailing Address - Country:US
Mailing Address - Phone:330-375-3894
Mailing Address - Fax:330-375-6680
Practice Address - Street 1:75 ARCH ST
Practice Address - Street 2:SUITE 506
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1429
Practice Address - Country:US
Practice Address - Phone:330-375-3894
Practice Address - Fax:330-375-6680
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.091548207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease