Basil Mangra MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BASIL MANGRA MD PA

Doing business as

BASIL AMNGRA MD

Practice address

2518 N State Road 7
Lauderdale Lakes, FL 33313-2777

Phone

(954) 484-6440

Fax

(954) 484-0337

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Basil Mangra, M.D.

Title

Medical Doctor

Phone

(954) 484-6440

Specialties & licenses 1

Addresses

Other names 1

• BASIL AMNGRA MD Doing business as

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1861687485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333132777",
            "telephone_number": "954-484-6440",
            "fax_number": "954-484-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333132777",
            "telephone_number": "954-484-6440",
            "fax_number": "954-484-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIL MANGRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "MANGRA",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-484-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASIL AMNGRA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique Barnett, MSN, APRN, PMHNP
• Melisa Carole Barragan, DHA, MS, BCBA
• Kirk A Barrett, PA-C
• Michelle B Barrett, APRN
• Randi Bartlett, CRNA
• Marie Bateau
• Bethanne Battista, RN
• Cynthia Battle, CRTT
• Javier Alfonso Bautista, APRN
• Fernando E Bayron Velez, MD

• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.