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NPI Code Detail

MEDICARE: SARAH SIHARAJ-MANIKHAM

MEDICARE:   SARAH  SIHARAJ-MANIKHAM
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
1164X00000XLicensed Vocational Nurse201602TX

General Provider Information

NPI Number : 1457091787
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SIHARAJ-MANIKHAM
Provider Business Mailing Address
First Line : 5278 PRINCE VALIANT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-2824
Country : US
Telephone Number : 210-712-9875
Fax Number :
Provider Business Practice Location Address
First Line : 5278 PRINCE VALIANT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-2824
Country : US
Telephone Number : 210-712-9875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/01/2022

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Directions to “ SARAH SIHARAJ-MANIKHAM ” Practice Location

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