MEDICARE: DR. SUNDEEP MANGLA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	219126-1	NY
2	2085N0700X	Neuroradiology Physician	219126	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659357721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNDEEP MANGLA M.D.

Provider Business Mailing Address
First Line	:	8 THOMAS ST APT 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-1139
Country	:	US
Telephone Number	:	917-575-7703
Fax Number	:	516-266-6314

Provider Business Practice Location Address
First Line	:	6702 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5203
Country	:	US
Telephone Number	:	516-266-6499
Fax Number	:	516-266-6314

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	08/22/2023

Similar Medicare Providers

1033123872 — MINH-NHUT YVONNE DANG M.D.
Practice Location Address:

6700 3RD AVE
BROOKLYN, NY
11220-5203

Practice Phone: 917-423-7011
Practice Fax: 917-423-7073

1730551185 — BIRTHING CENTER OF NY
Practice Location Address:

6702 3RD AVE
BROOKLYN, NY
11220-5203

Practice Phone: 929-888-6996
Practice Fax:

1144687898 — BRMI @ SUNSET PARK
Practice Location Address:

6700 3RD AVE
BROOKLYN, NY
11220-5203

Practice Phone: 718-238-7000
Practice Fax:

1811468986 — INTERVENTIONAL MEDICAL CONSULTANT, PLLC
Practice Location Address:

6700 3RD AVE
BROOKLYN, NY
11220-5203

Practice Phone: 646-831-7983
Practice Fax:

1144901893 — NEUROINTERVENTIONAL MEDICINE PLLC
Practice Location Address:

6702 3RD AVE
BROOKLYN, NY
11220-5203

Practice Phone: 516-266-6499
Practice Fax: 516-266-6314

1841299104 — DR. RALPH R KIRIAT MD
Practice Location Address:

3588 NOSTRAND AVE
BROOKLYN, NY
11229-5203

Practice Phone: 718-891-7400
Practice Fax: 718-891-7401

Directions to “ DR. SUNDEEP MANGLA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.