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Contact Information

MANGALA V BETKERUR, MD
1320 MERCY DR NW
CANTON, OH44708-2614
 Phone: 330-580-4771
 Fax: 330-458-4223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MANGALA V BETKERUR · (Female)

NPI Number 1467434696
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2005
Last updated 12/10/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35046019B
  • OH Medicaid 0465214
  • Other 1902827876 GROUP NPI
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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