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General NPI Number Information
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NPI Number | 1932661576
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Entity Type | Individual
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Provider Name | KHUSHWANT SINGH MANGAT MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 5330 S HIGHWAY 95
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-9225
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Country | US
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Telephone | 928-788-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MILL ST MS-M14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-4196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22334
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 343105
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 22334
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License Number State | NV
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