Individual
MANALI DOSHI KALRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.123163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083684922
THE EYE SPECIALIST CENTER, LLC GRP NPI
IL
01
—
1699802421
ESC OPTICAL GRP NPI NUMBER
IL
01
—
205785
ESC GROUP MEDICARE COOK CO
IL
01
—
2057850055
INDIVIDUAL PTAN
IL
01
—
205786
ESC GROUP MEDICARE DUPAGE CO
IL
Enumeration date
04/14/2008
Last updated
05/23/2012
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