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Mangat Medical Llc
Ambulatory Surgical Clinic/Center in Edgewood, Kentucky
NPI 1669520318

Mangat Medical Llc is an Ambulatory Surgical Clinic/Center based in Edgewood, KY and is specialized in Ambulatory Surgical. Mangat Medical Llc practices in Edgewood, KY. The NPI Number for Mangat Medical Llc is 1669520318 and holds a License No. 300163 (Kentucky).

The current practice location address for Mangat Medical Llc is 133 Barnwood Dr, Edgewood, KY and can be reached out via phone at 859-426-1616 and via fax at 859-578-3321.

Location: 133 Barnwood Dr, Edgewood, KY, 41017-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669520318
Provider Name
Mangat Medical Llc
Credential
Provider Entity Type
Organization
Address
133 Barnwood Dr, Edgewood, KY, 41017-2500
Phone Number
859-426-1616
Fax Number
859-578-3321
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300163 01 KY ASC LICENSE
69897 01 AAAHC
institution
Provider Business Practice Location Address Details
Address
133 Barnwood Dr
City
Edgewood
State
Kentucky
Zip
41017-2500
Phone Number
859-426-1616
Fax Number
859-578-3321
person
Provider Business Mailing Address Details
Address
133 Barnwood Dr
City
Edgewood
State
Kentucky
Zip
41017-2500
Phone Number
859-426-1616
Fax Number
859-578-3321
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
300163 (Kentucky)
Definition
Definition to come...
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