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

Dr. Theodore Dungan Mandelkorn, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1922167220

Dr. Theodore Dungan Mandelkorn, MD is a Developmental - Behavioral Pediatrics Physician in Mercer Island, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2553 76th Ave SE
Mercer Island, WA 98040-2758
Phone: (206) 275-0702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence MD00010762 (WA)

Record details

NPI number1922167220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 8, 2007