Mangeshkumar, Venkatachalam
Mangeshkumar, Venkatachalam is an sole proprietor health care provider with primary practice located at 640 East Oregon Road , Lititz PA 17543. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mangeshkumar, Venkatachalam can be contacted via phone (717) 569-8773.Contact Information
Primary practice address
640 East Oregon Road
Lititz PA 17543
Phone: (717) 569-8773
Fax: (717) 569-8187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0611259L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD0611259L | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | MD061259L | Pennsylvania |
Profile Details
| NPI number | 1730173485 |
|---|---|
| LBN Legal business name | Mangeshkumar, Venkatachalam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Nov 6th, 2023 - 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 | 1730173485 | NPPES |
| Pennsylvania | MEDICAID | 001672400 0003 | |
| Pennsylvania | MEDICAID | 0016724000003 |
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