Shetty, Mangala J

Shetty, Mangala J is an individual health care provider with primary practice located at 1737A Se 28Th Loop , Ocala FL 34471. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Shetty, Mangala J can be contacted via phone (352) 622-1840.

Contact Information

Primary practice address
1737A Se 28Th Loop Ocala FL 34471
Phone: (352) 622-1840
Fax: (352) 622-0157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME75986 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME75986 Florida

Profile Details

NPI number 1770501413
LBN Legal business name Shetty, Mangala J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 28th, 2022 - about 2 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 1770501413 NPPES
Florida MEDICAID 254258700

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