Organization
RIPDEEP MANGAT MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIPDEEP MANGAT M.D. (PRESIDENT)
(949) 683-4171
Entity
Organization
Contact information
Practice address
1250 NE 3RD ST STE B100, BEND, OR 97701-3151
(541) 317-1700
Mailing address
1250 NE 3RD ST STE B100, BEND, OR 97701-3151
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD28729
OR
Other
Enumeration date
04/19/2009
Last updated
04/19/2009
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