Individual
ANIL K. MONGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(484) 628-1324
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
(718) 270-8867
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD484203
PA
2080P0210X
Pediatric Nephrology Physician
002036-1
NY
2080P0210X
Pediatric Nephrology Physician
Primary
MD484203
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02496711
—
NY
Enumeration date
12/09/2005
Last updated
05/22/2024
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