Individual
KESHAV MANGALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
5890 ROYAL OAKS DR, SHOREVIEW, MN 55126-8418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315269
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
315269
NY
207RP1001X
Pulmonary Disease Physician
315269
NY
Other
Enumeration date
04/29/2020
Last updated
06/09/2026
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