National Provider Identifier
Mark Mangkhalakhili, PA-C
Mark Mangkhalakhili, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 631-3555.
Profile Overview
- NPI
- 1508517897
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 18, 2022
- Last Updated
- February 12, 2025
Practice Location
- 400 International Dr
- Williamsville, NY 14221-5771
Phone: (716) 631-3555
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1508517897
- Entity Type
- Individual
- Last Name
- Mangkhalakhili
- First Name
- Mark
- Credential
- PA-C
- Mailing Street Address
- 400 International Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5771
- Mailing Country
- US
- Mailing Phone
- (716) 631-3555
- Practice Street Address
- 400 International Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5771
- Practice Country
- US
- Practice Phone
- (716) 631-3555
- Enumeration Date
- January 18, 2022
- Last Updated
- February 12, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)