Puttanniah, Mangala
Puttanniah, Mangala is an individual health care provider with primary practice located at 91 Chenango Bridge Rd , Binghamton NY 13901-1293. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Puttanniah, Mangala can be contacted via phone (607) 648-6667.Contact Information
Primary practice address
91 Chenango Bridge Rd
Binghamton NY 13901-1293
Phone: (607) 648-6667
Fax: (607) 648-4141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 140415 | New York |
Profile Details
| NPI number | 1780685693 |
|---|---|
| LBN Legal business name | Puttanniah, Mangala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Nov 19th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780685693 | NPPES |
| New York | MEDICAID | 00435465 |
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