Mangat, Simardeep

Mangat, Simardeep is an individual health care provider with primary practice located at 1304 Buckley Rd , Syracuse NY 13212-4311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mangat, Simardeep can be contacted via phone (315) 478-3311.

Contact Information

Primary practice address
1304 Buckley Rd Syracuse NY 13212-4311
Phone: (315) 478-3311
Fax: (315) 426-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235907 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 235907 New York

Profile Details

NPI number 1063518074
LBN Legal business name Mangat, Simardeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated May 18th, 2012 - about 13 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 1063518074 NPPES
New York MEDICAID 02969271
New York Other 204496170

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