MANGO MEDICAL DPC NPI 1548029580

NPI Information

NPI: 1548029580
Provider Name: MANGO MEDICAL DPC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
23 S MALLORY ST STE B
HAMPTON, VA
ZIP 23663
Phone: (757) 210-5959
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MANGO MEDICAL DPC is a primary care clinic center in Hampton, VA. MANGO MEDICAL DPC NPI is 1548029580. The provider is registered as an organization entity type.

The provider's business location address is:

23 S MALLORY ST STE B
HAMPTON, VA
ZIP 23663-707
Phone: (757) 210-5959
Fax: (800) 313-5613

The provider's authorized official is Nzinga Teule-hekima .
The authorized official title is Md/ceo and has the following contact phone number (757) 210-5959.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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