Individual
DR. NEVINDRA N MANGRU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 HOSPITAL RD, SUITE E, WINCHESTER, TN 37398-2494
(931) 962-0672
(931) 967-7818
Mailing address
155 HOSPITAL RD, SUITE E, WINCHESTER, TN 37398-2494
(931) 962-0672
(931) 967-7818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD27640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099893
—
TN
01
—
3118089
BCBS
TN
Enumeration date
05/16/2006
Last updated
07/09/2007
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