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Individual
VENKATA AMARENDRA MANGALAGIRI
Active
Individual
VENKATA AMARENDRA MANGALAGIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
MD2014-0037
NM
207Q00000X
Family Medicine Physician
Primary
R6043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98570504
—
NM
Enumeration date
07/08/2011
Last updated
05/24/2024
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