Individual
DR. MANGLA S GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D59068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740259274
—
DE
01
—
617296-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
03/16/2006
Last updated
02/14/2008
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