Individual
DR. MANJU SHIVAN HARIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4729 N HABANA AVE, TAMPA, FL 33614-7113
(813) 251-8444
(813) 254-6414
Mailing address
4729 N HABANA AVE, TAMPA, FL 33614-7113
(813) 251-8444
(813) 254-6414
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
4301104040
MI
207RI0200X
Infectious Disease Physician
Primary
ME134313
FL
Other
Enumeration date
08/09/2007
Last updated
08/22/2022
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