KENNETH F MANGAN MD
NPI 1740278829
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since October 12, 2005
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4000(215) 707-5066 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth F Mangan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH F MANGAN MD (NPI 1740278829) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD025673E) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1740278829
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKENNETH F MANGANCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing AddressPo Box 827783Philadelphia, PA 19182-7783 · (215) 707-4000 · Fax (215) 707-5066
Fax(215) 707-5066
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateFebruary 8, 2010
NPI 1740278829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in PA · MD025673E
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3401 N BROAD ST, Philadelphia, PA 19140

Other Identifiers 3

Medicare UPINB81682
Medicare ID-Type Unspecified001664KUS
Medicaid0008685570001PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pharmacist (Pharmacotherapy)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Gastroenterology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Interventional Cardiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Nuclear Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Physical Medicine & Rehabilitation
3401 N BROAD ST, BSMT ROCK PAVILION
PHILADELPHIA, PA 19140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740278829, enumerated as an "individual" on October 12, 2005.

The provider is located at 3401 N BROAD ST PHILADELPHIA, PA 19140 and the phone number is (215) 707-4000.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.