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Individual
MANISH DIMRI
Active
Individual
MANISH DIMRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3864119
—
TN
01
—
4067199
BLUE SHIELD OF TENNESSEE
TN
Enumeration date
05/28/2006
Last updated
07/18/2016
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