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SHEETAL NIRANJAN MANGALAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2295 RONALD REAGAN PKWY, SNELLVILLE, GA 30078
(770) 982-2332
Mailing address
3292 THOMPSON BRIDGE RD STE 371, GAINESVILLE, GA 30506-1561
(770) 982-2332
(770) 972-4104

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
064859
GA
208000000X
Pediatrics Physician
2008-00639
NC
208000000X
Pediatrics Physician
35088261
OH
208M00000X
Hospitalist Physician
064859
GA
208M00000X
Hospitalist Physician
2008-00639
NC
208M00000X
Hospitalist Physician
35-088261
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01364310
AMERIGROUP
GA
01
1205990694
TRICARE STANDARD (SOUTH)
GA
01
52507116
BCBS
GA
01
562994
WELLCARE OF GEORGIA
GA
01
7037841
AETNA
GA
01
7534282
CIGNA
GA
05
889794953A
GA
Enumeration date
12/20/2006
Last updated
02/19/2019
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