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NPI Code Detail

MEDICARE: GATEWAY RADIOLOGY CONSULTANTS PA

MEDICARE: GATEWAY RADIOLOGY CONSULTANTS PA
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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
199046OTHERFLHOSPITAL BASED BLUE CROSS
2080057OTHERFLAVMED GROUP
3V2609OTHERFLBLUE CROSS - IDTF
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5230507OTHERFLAMERIGROUP
61605181OTHERFLUNITED HEALTHCARE GROUP

General Provider Information

NPI Number : 1922051333
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY RADIOLOGY CONSULTANTS PA
Provider Business Mailing Address
First Line : 4800 PARK BLVD
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3534
Country : US
Telephone Number : 727-522-1061
Fax Number : 727-528-7916
Provider Business Practice Location Address
First Line : 4800 PARK BLVD
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3534
Country : US
Telephone Number : 727-522-1061
Fax Number : 727-528-7916
Authorized Official
Title or Position : PRESIDENT
Name : GAGANDEEP SINGH MANGAT
Credential : M.D.
Telephone Number : 727-522-1061
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/15/2013

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Directions to “GATEWAY RADIOLOGY CONSULTANTS PA ” 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.

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