Individual
DR. MAHENDRA MANGRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116016860
VA
207RN0300X
Nephrology Physician
Primary
MD21836
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013-01034
MEDICAL LICENSE
NC
01
—
43797
MEDICAL LICENSE
AZ
01
—
49419
MEDICAL LICENSE
CO
01
—
7742820-1205
MEDICAL LICENSE
UT
01
—
MD2010-0606
MEDICAL LICENSE
NM
01
—
MD21836
MEDICAL LICENSE
ME
Enumeration date
01/31/2008
Last updated
12/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us