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Individual

DR. DEV MANGALAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4000
(770) 531-2435
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 531-2435

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
145571
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01355160
AMERIGROUP
GA
01
3186961
UHC
GA
01
4453689
CIGNA
GA
01
52289700
BCBS
GA
01
559684
WELLCARE
GA
05
794441598A
GA
05
794441598B
GA
05
794441598D
GA
01
9102580
AETNA
GA
01
P00903608
MEDICARE RAILROAD
GA
Enumeration date
04/14/2008
Last updated
05/13/2021
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