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Mangahas Medical Care, P.c.
Primary Care Clinic/Center in East Chicago, Indiana
NPI 1417063470

Mangahas Medical Care, P.c. is a Primary Care Clinic/Center based in East Chicago, IN and is specialized in Primary Care. Mangahas Medical Care, P.c. practices in East Chicago, IN. The NPI Number for Mangahas Medical Care, P.c. is 1417063470 and holds a License No. 01045012A (Indiana).

The current practice location address for Mangahas Medical Care, P.c. is 521 W Chicago Ave, East Chicago, IN and can be reached out via phone at 219-397-6903.

Location: 521 W Chicago Ave, East Chicago, IN, 46312-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417063470
Provider Name
Mangahas Medical Care, P.c.
Credential
Provider Entity Type
Organization
Address
521 W Chicago Ave, East Chicago, IN, 46312-3206
Phone Number
219-397-6903
Fax Number
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000280536 01 IN ANTHEM
0005078527 01 IN AETNA
0090000883 01 IL BCBS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
521 W Chicago Ave
City
East Chicago
State
Indiana
Zip
46312-3206
Phone Number
219-397-6903
Fax Number
person
Provider Business Mailing Address Details
Address
521 W Chicago Ave
City
East Chicago
State
Indiana
Zip
46312-3206
Phone Number
219-397-6903
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
01045012A (Indiana)
Definition
Definition to come...
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