| Dr Mahendra Mangray, MD | |
|
1600b Congress St, Portland, ME 04102-2124 | |
| (207) 774-5222 | |
| (207) 761-4433 |
| Full Name | Dr Mahendra Mangray |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1600b Congress St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801074919 | NPI | - | NPPES |
| 49419 | Other | CO | MEDICAL LICENSE |
| 7742820-1205 | Other | UT | MEDICAL LICENSE |
| 43797 | Other | AZ | MEDICAL LICENSE |
| MD21836 | Other | ME | MEDICAL LICENSE |
| 2013-01034 | Other | NC | MEDICAL LICENSE |
| MD2010-0606 | Other | NM | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0116016860 (Virginia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | MD21836 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780788372 PECOS PAC ID: 7517860588 Enrollment ID: O20040331000351 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahendra Mangray, MD 1600b Congress St, Portland, ME 04102-2124 Ph: (207) 774-5222 | Dr Mahendra Mangray, MD 1600b Congress St, Portland, ME 04102-2124 Ph: (207) 774-5222 |
Andrew J. Hsu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 155 Fore River Pkwy, Portland, ME 04102 Phone: 207-535-1100 Fax: 207-879-8787 | |
Rebecca Rose Lightman, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 | |
David A Polisner, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Christina Tsui, DO Nephrology Medicare: May Accept Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Brian D Moore, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Marc Stuart Hoffman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3265 | |
Janet D Mcculley, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 |