Dr. Simardeep Mangat
Internist Nephrologist
1304 Buckley Rd
Syracuse
, New York 13212-4311
Dr. Simardeep Mangat
Internist Nephrologist
1304 Buckley Rd
Syracuse
, New York 13212-4311
(315) 478-3311
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Simardeep Mangat
- 1304 Buckley Road
- Syracuse, NY
- Zip : 13212
- Phone : (315) 478-3311
Second Address
- Dr. Simardeep Mangat
- 1304 Buckley Rd
- Syracuse, NY
- Zip : 13212-4311
- Fax : (315) 426-0796
- Phone : (315) 478-3311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 235907 | NY |
| N | 111NI0900X | Internist | 235907 | NY |
| Y | 207RN0300X | Nephrologist | 235907 | NY |
National Provider Identifier
| NPI | 1063518074 |
|---|---|
| Provider Name | Dr. Simardeep Mangat |
| First Address | Syracuse, NY 13212 |
| Second Address | Syracuse, NY 13212-4311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 18/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02969271 | (05) | NY |
| 204496170 | EXCELLUS (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.