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Individual
DR. MATIN MIKAYIL IMANGULI
Active
Individual
DR. MATIN MIKAYIL IMANGULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411071
VA
207Y00000X
Otolaryngology Physician
25MA10294300
NJ
207Y00000X
Otolaryngology Physician
36041
AL
207Y00000X
Otolaryngology Physician
Q0461
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA10294300
NJ
Other
Enumeration date
02/01/2007
Last updated
12/12/2023
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