National Provider Identifier Database

ALICIA MANGRAM, MD – NPI #1972575504
Surgical Critical Care

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

ALICIA MANGRAM, MD
16601 N 40TH ST STE 204
PHOENIX, AZ85032-3356
Phone: 602-633-3721
Fax: 602-595-1127
Website:
Specialty Taxonomy Code
* Surgical Critical Care 2086S0102X

* Indicates primary specialty

NPI Profile & details for ALICIA MANGRAM

NPI Number 1972575504
Credentials MD
Entity Individual
Enumeration date 02/07/2006
Last updated 10/21/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 45385
  • AZ Medicaid: 665273
  • TX Medicaid: 144729405
Hospital affiliation n/a

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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