Individual
MARIANO A GALANG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 BROWNS LN STE G, LOUISVILLE, KY 40207-4656
(502) 897-1515
(502) 897-1557
Mailing address
1406 BROWNS LN STE G, LOUISVILLE, KY 40207-4656
(502) 897-1515
(502) 897-1557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27611
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0768211
MEDICARE ID
KY
05
—
30605018
—
KY
Enumeration date
06/14/2006
Last updated
12/11/2014
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