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Organization

GATEWAY RADIOLOGY CONSULTANTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAGANDEEP SINGH MANGAT MD (PRESIDENT)
(727) 522-1061
Entity
Organization

Contact information

Practice address
2100 1ST AVE S, ST PETERSBURG, FL 33712-1212
(727) 522-1061
(727) 528-7916
Mailing address
2100 1ST AVE S, ST PETERSBURG, FL 33712-1212
(727) 522-1061
(727) 528-7916

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
05/15/2013
Last updated
03/10/2016
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