Healthcare Provider Details

I. General information

NPI: 1386053825
Provider Name (Legal Business Name): MANISH GORASIYA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MANISH B GORASIYA MD

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E COURT ST
PARIS IL
61944-2460
US

IV. Provider business mailing address

727 E COURT ST
PARIS IL
61944-2460
US

V. Phone/Fax

Practice location:
  • Phone: 217-465-4141
  • Fax: 217-463-3184
Mailing address:
  • Phone: 217-465-4141
  • Fax: 217-463-3184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036.137367
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.137367
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: