Individual
MANISHA S. KUMAR
Active
Individual
MANISHA S. KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20A7919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX79190
—
CA
01
—
020A79190
BLUE SHIELD OF CA
—
01
—
A081
CHAMPUS
—
01
—
B078
CHAMPUS
—
Enumeration date
09/01/2006
Last updated
06/26/2009
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