Organization
GATEWAY RADIOLOGY CONSULTANTS PA
Active
Organization
GATEWAY RADIOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANDEEP SINGH MANGAT M.D. (PRESIDENT)
(727) 522-1061
Entity
Organization
Contact information
Practice address
4800 PARK BLVD, PINELLAS PARK, FL 33781-3534
(727) 522-1061
(727) 528-7916
Mailing address
4800 PARK BLVD, PINELLAS PARK, FL 33781-3534
(727) 522-1061
(727) 528-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062075100
—
FL
01
—
080057
AVMED GROUP
FL
01
—
1605181
UNITED HEALTHCARE GROUP
FL
01
—
230507
AMERIGROUP
FL
01
—
99046
HOSPITAL BASED BLUE CROSS
FL
01
—
V2609
BLUE CROSS - IDTF
FL
Enumeration date
05/18/2006
Last updated
05/15/2013
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