Individual
ASHVARYA MANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PARWAY, 3-KELLOGG, DIVISION OF CARDIOLOGY, CHICAGO, IL 60612
(312) 942-8771
(312) 942-5829
Mailing address
233 E WACKER DR, APT 412, CHICAGO, IL 60601-5104
(773) 575-4327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036129310
IL
207RI0011X
Interventional Cardiology Physician
Primary
036129310
IL
Other
Enumeration date
07/09/2009
Last updated
12/07/2023
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