Individual
DR. JAGINDRA N MANGRU
Active
Individual
DR. JAGINDRA N MANGRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
062253
GA
207RR0500X
Rheumatology Physician
38156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33396001
—
TN
01
—
4092108
BLUE CROSS NUMBER
TN
01
—
P00222697
MEDICARE RAILROAD
TN
01
—
TN0105
JOHN DEERE
TN
Enumeration date
07/20/2006
Last updated
01/23/2020
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