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Contact Information

JOSHUA L MANGHELLI, DO
7120 CLEARVISTA DR STE 3200
INDIANAPOLIS, IN46256-1782
 Phone: 317-621-7780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOSHUA L MANGHELLI · (Male)

NPI # 1356721567
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/02/2015
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02006817A
  • IN License # 11018189A
  • IN Medicaid 300064880
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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