Individual
INCIYA RANGWALLA-MALICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 COOPER PLAZA, THE COOPER HOSPITALIST TEAM, CAMDEN, NJ 08103-1438
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MB077643
NJ
208M00000X
Hospitalist Physician
Primary
25MB07764300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010006648
AMERICHOICE
—
01
—
2371176000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
2457199
UNITED HEALTHCARE
—
01
—
3627197
AETNA
—
01
—
3K6195
HEALTHNET
—
01
—
42589
UNIVERSITY HEALTHPLAN
—
01
—
P3408632
OXFORD
—
Enumeration date
10/15/2006
Last updated
10/31/2019
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