# MR. WALID MANGAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659529055
- **Gender:** Man
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0102203133 | VA | — |
| 207W00000X | Ophthalmology Physician | H0074109 | MD | — |
| 207W00000X | Ophthalmology Physician | OS12479 | FL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | OS12479 | FL | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 05/05/2017