Kalamangalam, Giridhar P
Kalamangalam, Giridhar P is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kalamangalam, Giridhar P can be contacted via phone (352) 273-5550.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-0236
Phone: (352) 273-5550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | FTL 41266 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | FTL 42176 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | FTL 42588 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MFC1789 | Florida |
Profile Details
| NPI number | 1164478111 |
|---|---|
| LBN Legal business name | Kalamangalam, Giridhar P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164478111 | NPPES |
| Texas | Other | 8R6146 | BCBS |
| Texas | Other | JB421Z | BCBS |
| Texas | MEDICAID | 021663900 | BCBS |
| Texas | MEDICAID | 181044201 | BCBS |
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