Active NPI
Mangala Khadilkar, M.D.
- Forensic Psychiatry Physician
- Norristown, PA
National Provider Identifier
1992848386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- MD-038005-L
- Practice address
- 1001 Sterigere St
Norristown State Hospital
Norristown, PA 19401-5300 - Phone
- (610) 313-5647
- Fax
- (610) 313-1013
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MD-038005-L | PA | Primary |
Addresses
Primary practice location
1001 Sterigere St
Norristown State Hospital
Norristown, PA 19401-5300
Mailing address
345 Concord Cir
Southampton, PA 18966-4409
Phone (215) 357-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-038005-L | PA | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1992848386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 CONCORD CIR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664409",
"telephone_number": "215-357-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STERIGERE ST",
"address_2": "NORRISTOWN STATE HOSPITAL",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194015300",
"telephone_number": "610-313-5647",
"fax_number": "610-313-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADILKAR",
"first_name": "MANGALA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "PA",
"license": "MD-038005-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.