Individual
NISHA J MANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Mailing address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
42431
MN
207RR0500X
Rheumatology Physician
45240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200645600
—
MN
Enumeration date
01/19/2006
Last updated
02/20/2013
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