Gulati, Mangla S

Gulati, Mangla S is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Gulati, Mangla S can be contacted via phone (410) 328-5793.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-5793
Fax: (410) 328-0248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D59068 Maryland

Profile Details

NPI number 1740259274
LBN Legal business name Gulati, Mangla S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 14th, 2008 - about 16 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 1740259274 NPPES
Maryland Other 617296-01 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 1740259274 BLUE CROSS/BLUE SHIELD

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