Organization
MAC VELINGKER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANGUESH G VELINGKER M.D. (PRESIDENT)
(337) 392-0222
Entity
Organization
Contact information
Practice address
103 N 5TH ST, LEESVILLE, LA 71446-4025
(337) 392-0222
(337) 392-0226
Mailing address
103 N 5TH ST, LEESVILLE, LA 71446-4025
(337) 392-0222
(337) 392-0226
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436321
—
LA
Enumeration date
08/20/2006
Last updated
02/25/2014
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