Mangal, Ajay Kumar

Mangal, Ajay Kumar is an individual health care provider with primary practice located at 423 Linden Ln , Lake Wales FL 33853-4342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mangal, Ajay Kumar can be contacted via phone (863) 676-1960.

Contact Information

Primary practice address
423 Linden Ln Lake Wales FL 33853-4342
Phone: (863) 676-1960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.054717 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036-124396 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME 110058 Florida

Profile Details

NPI number 1669706347
LBN Legal business name Mangal, Ajay Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2009
Last updated Feb 11th, 2022 - 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 1669706347 NPPES
Ohio MEDICAID 0740658

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