Individual
MANGALA RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1323 ROUTE 9, SUITE 109, WAPPINGERS FALLS, NY 12590-4904
(845) 297-9495
Mailing address
1323 ROUTE 9, SUITE 109, WAPPINGERS FALLS, NY 12590-4904
(845) 297-9495
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
174075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01225621
—
NY
Enumeration date
06/20/2006
Last updated
02/06/2008
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