MANGALA PUTTANNIAH MD NPI 1780685693

NPI Information

NPI: 1780685693
Provider Name: MANGALA PUTTANNIAH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
91 CHENANGO BRIDGE RD
BINGHAMTON, NY
ZIP 13901
Phone: (607) 648-6667
Get Directions

Mangala Puttanniah, MD is a pediatrics in Binghamton, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mangala Puttanniah, MD NPI is 1780685693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

91 CHENANGO BRIDGE RD
BINGHAMTON, NY
ZIP 13901-293
Phone: (607) 648-6667
Fax: (607) 648-4141

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/19/2011.

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	208000000X	Pediatrics		140415	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00435465	MEDICAID	NEW YORK
2	56709H	MEDICARE PIN	NEW YORK
3	F14627	MEDICARE UPIN

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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