Mangalat, Dev

Mangalat, Dev is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mangalat, Dev can be contacted via phone (678) 207-4000.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (678) 207-4000
Fax: (770) 531-2435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 145571 North Carolina

Profile Details

NPI number 1609040401
LBN Legal business name Mangalat, Dev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated May 13th, 2021 - about 3 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 1609040401 NPPES
Georgia MEDICAID 794441598A
Georgia MEDICAID 794441598B
Georgia MEDICAID 794441598D
Georgia Other P00903608
Georgia Other 4453689
Georgia Other 01355160
Georgia Other 9102580
Georgia Other 3186961
Georgia Other 52289700
Georgia Other 559684

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