MEDICARE: MUHAMMAD ASIF MANGI

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	207RI0011X	Interventional Cardiology Physician	CDR.0007002	CO
2	207RI0011X	Interventional Cardiology Physician	332930	LA
3	207RC0000X	Cardiovascular Disease Physician	CDR.0007002	CO

General Provider Information

NPI Number	:	1861888950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD ASIF MANGI

Provider Business Mailing Address
First Line	:	211 4TH ST # 30115
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-8421
Country	:	US
Telephone Number	:	318-473-4613
Fax Number	:	318-445-7129

Provider Business Practice Location Address
First Line	:	501 MEDICAL CENTER DR STE 250
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-8124
Country	:	US
Telephone Number	:	318-473-4613
Fax Number	:	318-445-7129

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	06/01/2026

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Directions to “ MUHAMMAD ASIF MANGI ” Practice Location

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