Individual
MANISH KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 646-4018
Mailing address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 646-4018
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
60238069
NY
207RX0202X
Medical Oncology Physician
103605
MN
207RX0202X
Medical Oncology Physician
Primary
50887
MN
Other
Enumeration date
05/05/2006
Last updated
11/03/2021
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