Provider Demographics
NPI:1184949737
Name:MANGAT, AMOLIKA PUKHRAJ KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:AMOLIKA
Middle Name:PUKHRAJ KAUR
Last Name:MANGAT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4909 CENTENNIAL PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312
Mailing Address - Country:US
Mailing Address - Phone:661-241-6700
Mailing Address - Fax:661-637-8860
Practice Address - Street 1:4909 CENTENNIAL PLAZA WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-241-6700
Practice Address - Fax:661-637-8860
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123949207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine