Provider Demographics
NPI:1174559512
Name:MANGAT, MANMEET (MD)
Entity type:Individual
Prefix:DR
First Name:MANMEET
Middle Name:
Last Name:MANGAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:400 N GARFIELD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5904
Practice Address - Country:US
Practice Address - Phone:432-685-1559
Practice Address - Fax:435-682-6973
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9337208M00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170992502Medicaid
TX170992503Medicaid
TX830007931OtherRAILROAD MEDICARE
TXP00734505OtherRAILROAD MEDICARE PTAN
TXP00924464OtherRAILROAD MEDICARE
TX170992503Medicaid
TX830007931OtherRAILROAD MEDICARE
TX170992502Medicaid
TX8D0438Medicare ID - Type Unspecified