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Contact Information

FELIZARDO H MANGUNDAYAO, MD
292 SOUTH MAIN ST.
DENTON, NC27239
 Phone: 336-859-2121
 Fax: 336-859-2122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FELIZARDO H MANGUNDAYAO · (Male)

NPI Number 1104997147
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 12/13/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 21999
  • NC Medicaid 890191A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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