Whalio Doctors

NPI 1528175312

Kiran a Mangalam, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Waterville, ME

Practice location

Address
149 North St, Waterville, ME 04901-4974
Phone
(207) 861-5101
Fax
(207) 872-4341

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 2144 (ME)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2144 (ME)

Registry record

NPI
1528175312
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Aug 2006
Record last updated
31 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.