Individual
DR. VIPUL MANGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6710 OXON HILL RD STE 550, OXON HILL, MD 20745-1117
(301) 485-7400
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(703) 914-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101250847
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101250847
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D80998
MD
Other
Enumeration date
08/01/2008
Last updated
07/26/2021
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