MEDICARE: DR. MANISHA GHEI 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	207R00000X	Internal Medicine Physician	N9057	TX
2	207R00000X	Internal Medicine Physician	2002-0296	NM

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	:	1326077991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANISHA GHEI M.D.

Provider Business Mailing Address
First Line	:	26 MIRAMAR HEIGHTS CIR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2727
Country	:	US
Telephone Number	:	832-586-6768
Fax Number	:

Provider Business Practice Location Address
First Line	:	11211 S HIGHWAY 6 STE B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4994
Country	:	US
Telephone Number	:	281-456-3866
Fax Number	:

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	10/10/2011

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