Provider Demographics
NPI:1194762591
Name:MANDAL SINGHAL, SANCHITA (MD)
Entity type:Individual
Prefix:DR
First Name:SANCHITA
Middle Name:
Last Name:MANDAL SINGHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SANCHITA
Other - Middle Name:
Other - Last Name:MANDAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2073 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3414
Mailing Address - Country:US
Mailing Address - Phone:609-584-1212
Mailing Address - Fax:609-584-0103
Practice Address - Street 1:2073 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3414
Practice Address - Country:US
Practice Address - Phone:609-584-1212
Practice Address - Fax:609-584-0103
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065561L207RC0000X
NJ25MA10930200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017191950001Medicaid
PA0017191950001Medicaid
PAG69602Medicare UPIN