Provider Demographics
NPI:1124596895
Name:MANGAT AND KAUR INC.
Entity Type:Organization
Organization Name:MANGAT AND KAUR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:MANGAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-461-7599
Mailing Address - Street 1:20528 BOLAND FARM RD STE 109
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4032
Mailing Address - Country:US
Mailing Address - Phone:301-515-3333
Mailing Address - Fax:301-515-3322
Practice Address - Street 1:20528 BOLAND FARM RD STE 109
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876
Practice Address - Country:US
Practice Address - Phone:301-515-3333
Practice Address - Fax:301-515-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-10
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083702799OtherINTERNAL MEDICINE
1780777912OtherINTERNAL MEDICINE