Kiran A Mangalam, DO is a
Neuromusculoskeletal Medicine & Omm physician based in Waterville, Maine. Kiran A Mangalam is licensed to practice in Maine (license number 2144) and his current practice location is 149 North St, Waterville, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 861-5101.
NPI number for Kiran A Mangalam is 1528175312 and his current mailing address is 149 North St, Waterville, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528175312.
Physician's Profile
| Full Name | Kiran A Mangalam |
|---|
| Gender | Male |
|---|
| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 149 North St, Waterville, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528175312
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 05/31/2019
Medical Identifiers
Medical identifiers for Kiran A Mangalam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528175312 | NPI | - | NPPES |
| MM7302 | Other | | MEDICARE ID - GROUP |
| 432682599 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2144 (Maine) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 2144 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiran A Mangalam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kiran A Mangalam, DO
149 North St,
Waterville, ME 04901-4974
Ph: (207) 861-5101 | Kiran A Mangalam, DO
149 North St,
Waterville, ME 04901-4974
Ph: (207) 861-5101 |
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