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NPI Code Detail

MEDICARE: ANKUR MANSUKHLAL MANVAR M.D.

MEDICARE:   ANKUR MANSUKHLAL MANVAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician51650SC
2207L00000XAnesthesiology Physician2017-02041NC
3207LP2900XPain Medicine (Anesthesiology) Physician2017-02041NC
4208VP0000XPain Medicine Physician2017-02041NC

General Provider Information

NPI Number : 1598025983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANKUR MANSUKHLAL MANVAR M.D.
Provider Business Mailing Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number :
Provider Business Practice Location Address
First Line : 3315 SPRINGBANK LN STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3198
Country : US
Telephone Number : 704-317-1440
Fax Number : 704-733-9040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2012
Last Update Date : 02/05/2023

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