Mangalam, Kiran A

Mangalam, Kiran A is an individual health care provider with primary practice located at 149 North St , Waterville ME 04901-4974. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Mangalam, Kiran A can be contacted via phone (207) 861-5101.

Contact Information

Primary practice address
149 North St Waterville ME 04901-4974
Phone: (207) 861-5101
Fax: (207) 872-4341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2144 Maine
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 2144 Maine

Profile Details

NPI number 1528175312
LBN Legal business name Mangalam, Kiran A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 31st, 2019 - about 5 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 1528175312 NPPES
Other MM7302 MEDICARE ID - GROUP
MEDICAID 432682599 MEDICARE ID - GROUP

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