Venkatesh, Mangala

Venkatesh, Mangala is an individual health care provider with primary practice located at 2300 Miami Valley Dr Ste 550 , Centerville OH 45459-1298. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Venkatesh, Mangala can be contacted via phone (937) 438-7500.

Contact Information

Primary practice address
2300 Miami Valley Dr Ste 550 Centerville OH 45459-1298
Phone: (937) 438-7500
Fax: (937) 438-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35045891 Ohio

Profile Details

NPI number 1265411029
LBN Legal business name Venkatesh, Mangala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 22nd, 2020 - about 4 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 1265411029 NPPES
Ohio MEDICAID 0496020
Ohio Other 3160053075G36
Ohio Other 7138684001
Ohio Other D45891
Ohio Other 0520032

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