Gopal, Deepa Mangalat

Gopal, Deepa Mangalat is an individual health care provider with primary practice located at 732 Harrison Ave Fl Preston3 , Boston MA 02118-2309. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Gopal, Deepa Mangalat can be contacted via phone (617) 638-7490.

Contact Information

Primary practice address
732 Harrison Ave Fl Preston3 Boston MA 02118-2309
Phone: (617) 638-7490
Fax: (617) 414-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 240115 Massachusetts
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 240115 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 240115 Massachusetts

Profile Details

NPI number 1689850752
LBN Legal business name Gopal, Deepa Mangalat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Feb 10th, 2022 - about 3 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 1689850752 NPPES
Massachusetts MEDICAID 110097682A

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