Provider Demographics
NPI:1508290776
Name:DUMANDAN, CLAUDINE DE DIOS (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDINE
Middle Name:DE DIOS
Last Name:DUMANDAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 KNOLLTON DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-1635
Mailing Address - Country:US
Mailing Address - Phone:409-291-0994
Mailing Address - Fax:
Practice Address - Street 1:134 VISION PARK BLVD STE 130
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3030
Practice Address - Country:US
Practice Address - Phone:832-994-7756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT203564207R00000X
OH35.135398207RC0000X
TXV5668207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine