Chirantan Vinodbhai Mangukia, M.B.B.S
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Maywood, IL. Individual provider (NPI-1).
NPI number1770068041
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1770068041
- Entity type
- Individual (NPI-1)
- Name
- Chirantan Vinodbhai Mangukia
- Credential
- M.B.B.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2018
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036158825 | IL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD470774 | PA |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Other practice locations
200 1st Street Sw
Rochester, MN 55905-0001
Rochester, MN 55905-0001
Phone 507-284-2511
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