Faisal, Manthodi Kulangara

Faisal, Manthodi Kulangara is an individual health care provider with primary practice located at 4923 Ogletown Stanton Rd Suite 200, Newark DE 19713-2081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Faisal, Manthodi Kulangara can be contacted via phone (302) 225-0451.

Contact Information

Primary practice address
4923 Ogletown Stanton Rd Suite 200 Newark DE 19713-2081
Phone: (302) 225-0451
Fax: (302) 225-0472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0072245 Maryland
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C1-0009736 Delaware

Profile Details

NPI number 1245396787
LBN Legal business name Faisal, Manthodi Kulangara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245396787 NPPES
Pennsylvania MEDICAID 1019782510001
Pennsylvania Other 2088888
Pennsylvania Other 2859911000
Pennsylvania MEDICAID 1019782510002

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