# SHIKARIPUR MANJUNATH, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629392865
- **Authorized official:** SHIKARIPUR D MANJUNATH MD (OWNER)
- **Authorized official phone:** (469) 774-8442

## Contact information

- **Practice address:** 5960 W PARKER RD STE 278, PMB 121, PLANO, TX 75093-7792
- **Practice address phone:** (469) 774-8442
- **Practice address fax:** (972) 747-1663
- **Mailing address:** 5960 W PARKER RD STE 278, PMB 121, PLANO, TX 75093-7792
- **Mailing address phone:** (469) 774-8442
- **Mailing address fax:** (972) 747-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | K4140 | TX | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 09/27/2010