NPI 1669706347

Ajay Kumar Mangal, MD

Practitioner Otolaryngology Physician Lake Wales, FL

Practice location

Address: 423 Linden Ln, Lake Wales, FL 33853-4342
Phone: (863) 676-1960

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence ME 110058 (FL)

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Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 35.054717 (OH)

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Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036-124396 (IL)

Registry record

NPI: 1669706347
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2009
Record last updated: 11 Feb 2022

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.