Individual
ABHISHEK AVINASH MANGAONKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006444
GA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
60279
MN
Other
Enumeration date
06/25/2013
Last updated
08/18/2020
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