Provider Demographics
NPI:1821100884
Name:MANGAT, ALJINDER SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:ALJINDER
Middle Name:SINGH
Last Name:MANGAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6571
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-6571
Mailing Address - Country:US
Mailing Address - Phone:480-941-9210
Mailing Address - Fax:480-941-9209
Practice Address - Street 1:1402 N MILLER RD
Practice Address - Street 2:SUITE C-5
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3658
Practice Address - Country:US
Practice Address - Phone:480-941-9210
Practice Address - Fax:480-941-9209
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine