Mangrola, Rajendrasinh P

Mangrola, Rajendrasinh P is an sole proprietor health care provider with primary practice located at 4600 Military Trail Suite 206, Jupiter FL 33458-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mangrola, Rajendrasinh P can be contacted via phone (561) 691-1400.

Contact Information

Primary practice address
4600 Military Trail Suite 206 Jupiter FL 33458-4812
Phone: (561) 691-1400
Fax: (561) 691-1423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MEOO51839 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MEOO51839 Florida

Profile Details

NPI number 1568464949
LBN Legal business name Mangrola, Rajendrasinh P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Jun 25th, 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 1568464949 NPPES
Florida MEDICAID 062125100

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