Organization
SANJEEV V MANIAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV V MANIAR MD (OWNER)
(219) 836-0039
Entity
Organization
Contact information
Practice address
9250 COLUMBIA AVE, SUITE C1, MUNSTER, IN 46321-3538
(219) 836-0039
(219) 836-0288
Mailing address
9250 COLUMBIA AVE, SUITE C1, MUNSTER, IN 46321-3538
(219) 836-0039
(219) 836-0288
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
50004554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200896180
—
IN
Enumeration date
04/25/2007
Last updated
11/17/2009
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