MEDICARE: MANGINI, LAKHIA AND ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207ZC0500X	Cytopathology Physician
2	207ZH0000X	Hematology (Pathology) Physician
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

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	:	1649239328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANGINI, LAKHIA AND ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 733025
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-2225
Country	:	US
Telephone Number	:	713-271-6881
Fax Number	:	713-271-6885

Provider Business Practice Location Address
First Line	:	1140 BUSINESS CENTER DR STE 370
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2742
Country	:	US
Telephone Number	:	714-271-6881
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. JERRY GAUTHIER
Credential	:	MD
Telephone Number	:	713-271-6881

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	06/06/2024

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Directions to “MANGINI, LAKHIA AND ASSOCIATES, P.A. ” Practice Location

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