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
Mailing address3296n State Road 7, Lauderdale Lakes, FL 33319-5615