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HOLLARMANGAM PC NPI 1881816122


NPI Information

NPI: 1881816122
Provider Name: HOLLARMANGAM PC

Doing Business As: EAST VALLEY OB GYN

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1450 S DOBSON ROAD
B221
MESA, AZ
ZIP 85202
Phone: (480) 461-1161
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HOLLARMANGAM PC is a gynecology obstetrics gynecology in Mesa, AZ. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee HOLLARMANGAM PC NPI is 1881816122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Valley Ob Gyn.

The provider's business location address is:

1450 S DOBSON ROAD
B221
MESA, AZ
ZIP 85202
Phone: (480) 461-1161
Fax: (480) 835-1482

The provider's authorized official is Heather Mangam .
The authorized official title is Owner and has the following contact phone number (480) 461-1161.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology27458ARIZONAYes
2207VX0000XObstetrics & GynecologyObstetrics27458ARIZONAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1522799MEDICAIDARIZONA
2472366MEDICAIDARIZONA
3F14738MEDICAIDARIZONA

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: 4/28/2024

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