East Valley Ob Gyn

LBN: Hollarmangam Pc
East Valley Ob Gyn is an health care organization with primary practice located at 1450 S Dobson Road B221, Mesa AZ 85202. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. Hollarmangam Pc can be contacted via phone (480) 461-1161, or through Mangam, Heather via phone (480) 461-1161.

Contact Information

Primary practice address
1450 S Dobson Road B221 Mesa AZ 85202
Phone: (480) 461-1161
Fax: (480) 835-1482
Website:
Map and Directions
Authorized official contact:
Name: Mangam, Heather Doctor of Medicine (MD)
Phone: (480) 461-1161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 27458 Arizona
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 27458 Arizona

Profile Details

NPI number 1881816122
LBN Legal business name Hollarmangam Pc
DBA Doing business as East Valley Ob Gyn
Authorized official Mangam, Heather Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881816122 NPPES
Arizona MEDICAID F14738
Arizona MEDICAID 522799
Arizona MEDICAID 472366

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