Provider Demographics
NPI:1588666879
Name:MANGAL, RAKESH (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:MANGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7900 FANNIN ST STE 1490
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2935
Mailing Address - Country:US
Mailing Address - Phone:281-801-9066
Mailing Address - Fax:832-536-8756
Practice Address - Street 1:7900 FANNIN ST STE 1490
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2935
Practice Address - Country:US
Practice Address - Phone:281-801-9066
Practice Address - Fax:832-536-8756
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4902207VG0400X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83055GOtherBLUE CROSS & BLUE SHIELD
TX84295JMedicare ID - Type UnspecifiedHARRIS COUNTY
TX84359JMedicare ID - Type UnspecifiedFT. BEND
TX84302Medicare ID - Type UnspecifiedBRAZORIA COUNTY
TX83055GOtherBLUE CROSS & BLUE SHIELD