Individual
MANGESH RAJARAM PAGADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N BECKLEY AVE, PAVILION III, SUITE 268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Mailing address
1411 N BECKLEY AVE, PAVILION III, SUITE 268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.092082
OH
207RG0100X
Gastroenterology Physician
Q6256
TX
207RI0008X
Hepatology Physician
Q6256
TX
207RT0003X
Transplant Hepatology Physician
Primary
Q6256
TX
Other
Enumeration date
12/10/2008
Last updated
05/26/2021
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