Individual
MANISHA T. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 BROAD ST, 45TH FLOOR, NEW YORK, NY 10004-2304
(212) 530-0630
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
202102093
NC
207Q00000X
Family Medicine Physician
209897
MA
207Q00000X
Family Medicine Physician
Primary
255583
NY
207Q00000X
Family Medicine Physician
25MA08161500
NJ
207Q00000X
Family Medicine Physician
MD072672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033267
BMC HEALTHNET
MA
05
—
0148725
—
MA
01
—
0237449
CIGNA
MA
01
—
209897
TUFTS
MA
01
—
413307
RI BLUE CHIP
—
01
—
AA59391
HPHC
MA
01
—
J24034
MABC
MA
Enumeration date
07/20/2006
Last updated
07/17/2025
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