Individual
SUNANDA MANGRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347
Mailing address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22580
MD
207R00000X
Internal Medicine Physician
ME143027
FL
207RI0200X
Infectious Disease Physician
Primary
ME143027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104659600
—
FL
Enumeration date
06/18/2008
Last updated
02/26/2025
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