Individual
DR. NITI MANGLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S, M.D
Contact information
Practice address
4770 REGENT BLVD, IRVING, TX 75063-2445
(972) 934-4300
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
P8696
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P8696
TX
Other
Enumeration date
04/13/2011
Last updated
07/12/2022
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