Provider Demographics
NPI:1558340638
Name:MANDELKER, EIRAN MOSES (MD)
Entity type:Individual
Prefix:DR
First Name:EIRAN
Middle Name:MOSES
Last Name:MANDELKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4278562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3170553OtherMAMSI
P00277600OtherRAILROAD MEDICARE
100922OtherGEISINGER HEALTH PLAN
2621413000OtherAMERIHEALTH
2621413000OtherINDEPENDENCE BLUE CROSS
2621413000OtherKEYSTONE HEALTH EAST
50067839OtherKEYSTONE HEALTH CENTRAL
P3687147OtherOXFORD HEALTH PLANS
1784134OtherHIGHMARK BLUE SHIELD
5358321OtherCIGNA HEALTHCARE
9411306OtherPRIVATE HEALTHCARE SYSTEM
1189550OtherAETNA HMO
1845942OtherUNITED HEALTHCARE
50067839OtherCAPITAL BLUE CROSS
5466687OtherAETNA PPO
2621413000OtherAMERIHEALTH
5358321OtherCIGNA HEALTHCARE