Individual
DR. HASITHA DIANA MANOHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
432774
NJ
207R00000X
Internal Medicine Physician
Primary
T5385
TX
207RC0000X
Cardiovascular Disease Physician
036156651
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2018
Last updated
04/28/2025
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