Individual
MANOJ G MASSAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4496
(602) 954-6228
(602) 957-6142
Mailing address
PO BOX 44037, PHOENIX, AZ 85064-4037
(602) 954-6228
(602) 957-6142
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
31215
AZ
2085R0202X
Diagnostic Radiology Physician
25811
NE
2085R0202X
Diagnostic Radiology Physician
49229
CO
2085R0202X
Diagnostic Radiology Physician
83877
GA
2085R0202X
Diagnostic Radiology Physician
L1130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235182106
—
CA
05
—
1235182106
—
NV
05
—
1235182106
—
SD
05
—
176590101
—
TX
05
—
176590102
—
TX
05
—
176590103
—
TX
05
—
176590104
—
TX
05
—
176590106
—
TX
05
—
200174100A
—
OK
05
—
72750324
—
CO
05
—
74634241
—
NM
Enumeration date
05/19/2006
Last updated
06/04/2024
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