Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amrendra Kumar Mandal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518480250

Amrendra Kumar Mandal is a Gastroenterology in Valdosta, Georgia. Qualified in 2005, 21 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (229) 433-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-1600

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 93364 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518480250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address36 Presidential Cts, Syracuse, NY 13202-2477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valdosta