Shaker, Mangala C
Shaker, Mangala C is an sole proprietor health care provider with primary practice located at 6833 Indiana Ave Ste 101, Riverside CA 92506-4223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shaker, Mangala C can be contacted via phone (951) 781-4645.Contact Information
Primary practice address
6833 Indiana Ave Ste 101
Riverside CA 92506-4223
Phone: (951) 781-4645
Fax: (877) 904-9798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A43225 | California |
Profile Details
| NPI number | 1073509311 |
|---|---|
| LBN Legal business name | Shaker, Mangala C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 21st, 2016 - about 10 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 | 1073509311 | NPPES |
| California | MEDICAID | 00A432250 |
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