Mangla, Aditya

Mangla, Aditya is an sole proprietor health care provider with primary practice located at 8548 112Th St , Richmond Hill NY 11418-1641. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mangla, Aditya can be contacted via phone (718) 847-5059.

Contact Information

Primary practice address
8548 112Th St Richmond Hill NY 11418-1641
Phone: (718) 847-5059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245247-1 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 245247-1 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 245247-1 New York

Profile Details

NPI number 1548453285
LBN Legal business name Mangla, Aditya
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2007
Last updated Mar 7th, 2013 - about 11 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 1548453285 NPPES
New York MEDICAID 03493441

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