| NPI | 1861687485 |
|---|---|
| Doing Business As | BASIL AMNGRA MD |
| Entity Type | Organization |
| Authorized Contact | BASIL MANGRA Medical Doctor 954-484-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-11-15 |