Mangala Puttanniah in Johnson City - Pediatrics

Mangala Puttanniah - NPI 1780685693

Mangala Puttanniah is a Pediatrics in Johnson City, New York. Mangala Puttanniah practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mangala Puttanniah is 1780685693. The last update date is 2011-11-19.

Mangala Puttanniah's current location address is 346 Grand Ave, Johnson City, New York. You can contact this provider via phone number 6077700025 and fax number 6077293982. The mailing address for Mangala Puttanniah is 346 Grand Ave, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mangala Puttanniah
Address 346 Grand Ave, Johnson City, New York
Phone Number 6077700025
Fax Number 6077293982
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780685693
Provider Enumeration Date 2005-08-02
Last Updated Date 2011-11-19

Provider Mailing Address Detail

Address 346 Grand Ave
City Johnson City
State New York (NY)
Post Code 137902558
Phone Number 6077700025
Fax Number 6077293982

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 140415
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
435465 NY --

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FAQs about Mangala Puttanniah

What is the unique 10-digit identifier code issued to Mangala Puttanniah by the Centers for Medicare & Medicaid Services?

The Mangala Puttanniah has been assigned the NPI (National Provider Identifier) 1780685693 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mangala Puttanniah is physically located?

The Mangala Puttanniah is situated at the following address: 346 Grand Ave, Johnson City, NY 137902558.

What is the Mangala Puttanniah's area of specialization and corresponding taxonomy classification?

The Mangala Puttanniah's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date was the 1780685693 assigned to Mangala Puttanniah?

The Mangala Puttanniah was issued its 1780685693 on 2005-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Mangala Puttanniah's information last updated?

The Mangala Puttanniah's information was last updated on 2011-11-19.

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