Individual
ANUSHRIYA MANGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8410 W THOMAS RD STE 134, PHOENIX, AZ 85037-3374
(480) 821-3600
(480) 543-2033
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 543-2033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8315
AZ
363AM0700X
Medical Physician Assistant
Primary
8315
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089938
—
AZ
Enumeration date
12/13/2019
Last updated
05/30/2024
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