Individual
MANGALA P KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3464
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036069760
IL
207L00000X
Anesthesiology Physician
102253-875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069760
—
IL
Enumeration date
06/23/2006
Last updated
10/17/2024
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