Individual
MANISH R MOHANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-2800
(214) 645-2808
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-2800
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P3776
TX
207RP1001X
Pulmonary Disease Physician
Primary
P3776
TX
207RX0202X
Medical Oncology Physician
MD60016989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8526469
—
WA
Enumeration date
08/29/2008
Last updated
08/02/2012
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