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NPI Code Detail

MEDICARE: MANISHA PATEL

MEDICARE: MANISHA PATEL
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
1227900000XRegistered Respiratory Therapist30007166AIN

General Provider Information

NPI Number : 1891197737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANISHA PATEL
Provider Business Mailing Address
First Line : 225 YORKSHIRE BLVD E
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-4228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4851 TINCHER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-3780
Country : US
Telephone Number : 317-523-8002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 09/23/2014

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Directions to “ MANISHA PATEL ” Practice Location

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