Mangray, Mahendra

Mangray, Mahendra is an individual health care provider with primary practice located at 1600B Congress St , Portland ME 04102-2124. 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. Mangray, Mahendra can be contacted via phone (207) 774-5222.

Contact Information

Primary practice address
1600B Congress St Portland ME 04102-2124
Phone: (207) 774-5222
Fax: (207) 761-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0116016860 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD21836 Maine

Profile Details

NPI number 1801074919
LBN Legal business name Mangray, Mahendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Dec 20th, 2017 - about 8 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 1801074919 NPPES
Colorado Other 49419 MEDICAL LICENSE
Colorado Other 7742820-1205 MEDICAL LICENSE
Colorado Other 43797 MEDICAL LICENSE
Colorado Other MD21836 MEDICAL LICENSE
Colorado Other 2013-01034 MEDICAL LICENSE
Colorado Other MD2010-0606 MEDICAL LICENSE

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