MEDICARE: MANISHA MAGAR

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	207L00000X	Anesthesiology Physician	0101261961	VA

General Provider Information

NPI Number	:	1780071357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANISHA MAGAR

Provider Business Mailing Address
First Line	:	5010 SYLVAN RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5010 SYLVAN RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3134
Country	:	US
Telephone Number	:	571-338-7969
Fax Number	:

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

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	11/11/2024

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Directions to “ MANISHA MAGAR ” Practice Location

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