Individual
DR. SHAMLAL MANGRAY
Active
Individual
DR. SHAMLAL MANGRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD10583
RI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.133020
OH
207ZP0213X
Pediatric Pathology Physician
Primary
35.133020
OH
207ZP0213X
Pediatric Pathology Physician
MD10583
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007010438
MEDICARE PTAN NUMBER: RIH PATHOLOGY GROUP# 229006187
RI
01
—
007010439
MEDICARE PTAN NUMBER: TMH PATHOLOGY GROUP# 229006185
RI
05
—
0286630
—
OH
05
—
7010439
—
RI
01
—
H636280
MEDICARE PTAN
OH
Enumeration date
05/20/2006
Last updated
05/20/2026
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