Individual
BALMINDER S MANGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 CORPORATE SQUARE DR STE C, SLIDELL, LA 70458-3164
(985) 649-2576
(985) 735-9105
Mailing address
1924 CORPORATE SQUARE DR, SLIDELL, LA 70458-3164
(985) 649-2576
(985) 735-9105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05867R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342661
—
LA
Enumeration date
05/27/2006
Last updated
02/11/2022
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