Individual
DR. PRASAD MANIAN
Active
Individual
DR. PRASAD MANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J0897
TX
207RP1001X
Pulmonary Disease Physician
Primary
J0897
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J0897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128604906
—
TX
01
—
5560068
AETNA PROV #
TX
01
—
8R1142
BLUE CROSS PROV #
TX
01
—
P00189872
RAILROAD MEDICARE #
TX
Enumeration date
05/16/2006
Last updated
11/20/2020
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