NPI 1881089456 · live from the CMS NPI Registry
Ivo O Besong Mangeb, MD
Radiology, Diagnostic Radiology in Lexington, KY. National Provider Identifier 1881089456, active.
NPI record
| NPI | 1881089456 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1218 S Broadway Ste 310, Lexington, KY 40504 |
| Practice phone | 859-219-0542 |
| Enumerated | April 1, 2015 |
| Last updated | July 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | TP355 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | D89678 (MD) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 0101282615 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.