Pawan Mangla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35048541 Issued in OH

Practice address

25967 Woodpath TRL
Westlake, OH 44145-5713

Phone

(440) 835-2779

Fax

(440) 835-2779

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanjay K. Choudhary, MD

  • Internal Medicine Physician
  • Berea, OH
  • NPI 1962691329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1467430223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31594 SCHWARTZ RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453754",
            "telephone_number": "440-835-2779",
            "fax_number": "440-835-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25967 WOODPATH TRL",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455713",
            "telephone_number": "440-835-2779",
            "fax_number": "440-835-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGLA",
        "first_name": "PAWAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35048541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Malick, M.D
• Muhammad Raihan Malik, M.D.
• Lindsay Malterer, DPT
• Irwin Michael Mandel, M.D.
• Miriam B Mandel, MD
• Jessica Manifold
• Ashley Manning, RBT
• Luke Mannion, RBT
• Manorcare Health Services Inc. (Arden Courts ManorCare Health Services)
• Mary Manos-Mitchem

• Internal Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.