MEDICARE: DR. MOHAMMED H MANASAWALA 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	2085R0202X	Diagnostic Radiology Physician	C7-0002712	DE
2	2085R0202X	Diagnostic Radiology Physician	MD439630	PA
3	2085N0700X	Neuroradiology Physician	MD439630	PA
4	2085R0202X	Diagnostic Radiology Physician	235399	MA

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

General Provider Information

NPI Number	:	1578695292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED H MANASAWALA M.D.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 MONUMENT RD STE 201
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-5074
Country	:	US
Telephone Number	:	717-812-4083
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	03/04/2026

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Directions to “ DR. MOHAMMED H MANASAWALA M.D.” Practice Location

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