Mangla, Bhupesh

Mangla, Bhupesh is an individual health care provider with primary practice located at 1450 Chapel St Department Of Medicine, Hospital Of Saint Raphael, New Haven CT 06511-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mangla, Bhupesh can be contacted via phone (203) 789-3203.

Contact Information

Primary practice address
1450 Chapel St Department Of Medicine, Hospital Of Saint Raphael New Haven CT 06511-4405
Phone: (203) 789-3203
Fax: (203) 789-3222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 040017 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040017 Connecticut

Profile Details

NPI number 1649272949
LBN Legal business name Mangla, Bhupesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 8th, 2017 - about 7 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 1649272949 NPPES
Connecticut MEDICAID 001400176

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