Individual
MANISHA TIWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(212) 423-6771
Mailing address
1005 SAINT ANDREW ST, TARBORO, NC 27886-3842
(646) 468-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-00245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
932281217
GHI BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/30/2012
Last updated
01/20/2021
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