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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRAN A MANGALAM, DO

Active

KIRAN A MANGALAM, DO is a Electrodiagnostic Medicine healthcare provider located in WATERVILLE, Maine. NPI 1528175312 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · WATERVILLE, ME

Registration Details

NPI Number
1528175312
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.988672312255 yrs)
Last Updated
May 31, 2019
Licenses
2144 (ME)
2144 (ME)

Practice Information

Address
149 NORTH ST
WATERVILLE, ME, 049014974
Browse ME providers · Browse ZIP 04901
Phone
2078615101
Fax
2078724341
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine

Other Electrodiagnostic Medicine Providers in WATERVILLE, ME

Name Credential NPI
MARK ERIN SUTHERLAND DO 1164475794
SAMUEL MADORE DO 1831537109
WILLIAM COCHRAN MCDOUGALL IV DO 1417336603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.