Organization
MINDFUL LIVING INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARPAL SINGH MANGAT MD (VICE PRESIDENT)
(301) 515-3333
Entity
Organization
Contact information
Practice address
22616 GATEWAY CENTER DR, SUITE #600A, CLARKSBURG, MD 20871-2011
(301) 515-3333
(301) 515-3322
Mailing address
22616 GATEWAY CENTER DR, SUITE #600A, CLARKSBURG, MD 20871-2011
(301) 515-3333
(301) 515-3322
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
D0058756
MD
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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