Individual
PAWAN MANGLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25967 WOODPATH TRL, WESTLAKE, OH 44145-5713
(440) 835-2779
(440) 835-2779
Mailing address
31594 SCHWARTZ RD, WESTLAKE, OH 44145-3754
(440) 835-2779
(440) 835-2779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35048541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0646215
—
OH
Enumeration date
01/03/2006
Last updated
08/01/2011
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