Individual
DR. TARA MANGAT
Active
Individual
DR. TARA MANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101232595
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146222
ANTHEM BC
VA
Enumeration date
12/21/2005
Last updated
02/27/2008
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