Individual
DR. MANGALA VENKATESH
Active
Individual
DR. MANGALA VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35045891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496020
—
OH
01
—
0520032
UNITED HEALTHCARE
OH
01
—
3160053075G36
ANTHEM
OH
01
—
7138684001
CIGNA
OH
01
—
D45891
CHOICECARE
OH
Enumeration date
01/11/2006
Last updated
10/22/2020
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