Organization
MANIKANT V. DESAI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIKANT V DESAI MD (CEO)
(570) 454-1056
Entity
Organization
Contact information
Practice address
101 W BROAD ST, 5TH FLOOR; SUITE 508, HAZLETON, PA 18201-6303
(570) 454-1056
(570) 454-3995
Mailing address
101 W BROAD ST, 5TH FLOOR; SUITE 508, HAZLETON, PA 18201-6303
(570) 454-1056
(570) 454-3995
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036585L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005535200006
—
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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