Provider Demographics
NPI:1558518209
Name:MANGALPALLY, KIRAN KUMAR R (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN KUMAR
Middle Name:R
Last Name:MANGALPALLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5350 INDEPENDENCE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4653
Mailing Address - Country:US
Mailing Address - Phone:945-222-4111
Mailing Address - Fax:945-218-5475
Practice Address - Street 1:5350 INDEPENDENCE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4653
Practice Address - Country:US
Practice Address - Phone:945-222-4111
Practice Address - Fax:945-218-5475
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8158207RI0011X, 207RC0000X, 208M00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist