National Provider Identifier

Rajiv Mangla, M.D.

Rajiv Mangla, M.D. is listed in the NPPES registry with a primary specialty of Neuroradiology Physician in Rochester, NY and a listed phone number of (585) 275-7586.

NPI 1366603169Rochester, NYNeuroradiology Physician

Profile Overview

NPI
1366603169
Provider Type
Individual
Primary Specialty
Neuroradiology Physician
Enumeration Date
June 24, 2008
Last Updated
August 18, 2009

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-7586

Mailing Address

  • 601 Elmwood Ave
  • Box 648
  • Rochester, NY 14642-0001

Specialties

  • Neuroradiology Physician (2085N0700X)
Full Record
NPI
1366603169
Entity Type
Individual
Last Name
Mangla
First Name
Rajiv
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 648
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-7586
Mailing Fax
(585) 473-4861
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-7586
Practice Fax
(585) 473-4861
Enumeration Date
June 24, 2008
Last Updated
August 18, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neuroradiology Physician (2085N0700X)