Healthcare Provider Details

I. General information

NPI: 1477465201
Provider Name (Legal Business Name): MANOKA ASSOCIATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 CANARY PEPPER DR
DURHAM NC
27713-6770
US

IV. Provider business mailing address

1007 CANARY PEPPER DR
DURHAM NC
27713-6770
US

V. Phone/Fax

Practice location:
  • Phone: 919-224-6742
  • Fax:
Mailing address:
  • Phone: 919-224-6742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAYPRAKESH GANESH
Title or Position: CEO
Credential: CEO
Phone: 919-224-6742