DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1235182106

NPI Code Detail

MEDICARE: MANOJ G MASSAND MD

MEDICARE: MANOJ G MASSAND MD

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	2085R0202X	Diagnostic Radiology Physician	L1130	TX
2	2085R0202X	Diagnostic Radiology Physician	25811	NE
3	2085R0202X	Diagnostic Radiology Physician	83877	GA
4	2085R0202X	Diagnostic Radiology Physician	49229	CO
5	2085N0700X	Neuroradiology Physician	31215	AZ

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235182106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANOJ G MASSAND MD

Provider Business Mailing Address
First Line	:	PO BOX 44037
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85064-4037
Country	:	US
Telephone Number	:	602-954-6228
Fax Number	:	602-957-6142

Provider Business Practice Location Address
First Line	:	350 W THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4496
Country	:	US
Telephone Number	:	602-954-6228
Fax Number	:	602-957-6142

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	06/04/2024

Similar Medicare Providers

1740035047 — DR. NOURA AHMED
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax:

1437844198 — EUGENE MOON MD
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax:

1568081057 — ZACHARY MORRISON MD
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax:

1972767580 — ANNE HENDERSON MD
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax: 602-212-4768

1083467443 — JAYDEN GUBLER MD
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax:

1164117321 — ANTHONY Y YEUNG
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4496

Practice Phone: 602-406-3000
Practice Fax:

Directions to “ MANOJ G MASSAND MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.