Individual
MRS. MAMTA MANGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 671-5858
(513) 346-7456
Mailing address
436 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 671-5858
(513) 346-7456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35062261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00881616
—
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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