Mangru, Jagindra N
Mangru, Jagindra N is an sole proprietor health care provider with primary practice located at 3970 Deputy Bill Cantrell Memorial Road Ste 203, Cumming GA 30040-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mangru, Jagindra N can be contacted via phone (770) 887-5159.Contact Information
Primary practice address
3970 Deputy Bill Cantrell Memorial Road Ste 203
Cumming GA 30040-3004
Phone: (770) 887-5159
Fax: (770) 887-9496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 38156 | Tennessee |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 062253 | Georgia |
Profile Details
| NPI number | 1922028034 |
|---|---|
| LBN Legal business name | Mangru, Jagindra N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 23rd, 2020 - about 5 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 | 1922028034 | NPPES |
| Tennessee | MEDICAID | 33396001 | |
| Tennessee | Other | P00222697 | |
| Tennessee | Other | 4092108 | |
| Tennessee | Other | TN0105 |
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