Individual
AVANI SANJEEV MANGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2467
(704) 384-1900
Mailing address
HANES HOUSE ROOM 378, DUMC BOX 102382 315 TRENT DRIVE, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2019-00440
NC
390200000X
Student in an Organized Health Care Education/Training Program
UO5120
FL
Other
Enumeration date
06/24/2016
Last updated
11/13/2025
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