Ray Peter Mangulabnan MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301072416 Issued in MI

Legal business name

RAY PETER MANGULABNAN MD PC

Practice address

3170 Hallmark CT
Saginaw, MI 48603-2183

Phone

(989) 790-1275

Fax

(989) 249-4199

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Ray Peter Mangulabnan, M.D.

Title

President

Phone

(989) 790-1275

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1831393784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032183",
            "telephone_number": "989-790-1275",
            "fax_number": "989-249-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032183",
            "telephone_number": "989-790-1275",
            "fax_number": "989-249-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY PETER MANGULABNAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "MANGULABNAN",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-790-1275",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4411167",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Raube, M.S. ATC
• Mercedes Rausch
• Kaushik Jitendra Raval, M.D.
• Karthik Ravindran, M.D.
• Kondaramvalappil K Ravindran, MD
• Demetrea Michell Ray
• Elizabeth Ray
• Micshell Denise Ray, LLMSW
• Stephanie Ray, B.A., BCABA, LABA
• Kyle Patrick Raycraft, M.D.

• Internal Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.