Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Basil Mangra, MD

Individual provider Legal Medicine · NPI 1114913688

Dr. Basil Mangra, MD is a Legal Medicine in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3296N State Road 7
Lauderdale Lakes, FL 33319-5615
Phone: (954) 484-6440
Fax: (954) 909-5381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence ME62781 (FL)

Record details

NPI number1114913688
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJuly 28, 2015