Provider Demographics
NPI:1851316657
Name:MANGAT, RAMNEET K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMNEET
Middle Name:K
Last Name:MANGAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMNEET
Other - Middle Name:K
Other - Last Name:CHAHAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:625 34TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2307
Mailing Address - Country:US
Mailing Address - Phone:833-678-2781
Mailing Address - Fax:661-368-0618
Practice Address - Street 1:625 34TH ST STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2307
Practice Address - Country:US
Practice Address - Phone:833-678-2781
Practice Address - Fax:661-368-0618
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301073947207V00000X
CAA109970207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RM073947OtherCOMMERCIAL-COMMERCIAL NUMBER
MI491312210Medicaid
RM073947OtherCHAMPUS-CHAMPUS
700H262210OtherBLUE CROSS-BLUE CROSS
I57243Medicare UPIN
MIM78840008Medicare PIN
RM073947OtherCHAMPUS-CHAMPUS