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Individual

ATUL MANGLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
4301106416
MI
2084N0400X
Neurology Physician
4301106416
MI
2084N0400X
Neurology Physician
Primary
MD445972
PA
2084V0102X
Vascular Neurology Physician
4301106416
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103383230
PA
Enumeration date
03/20/2012
Last updated
02/28/2024
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