MEDICARE: DR. ANJU MANI 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
1	208M00000X	Hospitalist Physician	ME112805	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043444508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANJU MANI M.D

Provider Business Mailing Address
First Line	:	COLONIAL DRIVE
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5741
Country	:	US
Telephone Number	:	954-727-4711
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 NORTH SR 7
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5741
Country	:	US
Telephone Number	:	954-727-4711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	03/31/2021

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