Individual
DR. MAHENDRA MANGRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
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