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Individual

DR. HANISHA RAJLAKSHMI MANICKAVASAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
954 ISABEL DR, LEBANON, PA 17042-7482
(717) 376-1180
(717) 273-6937
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 376-1180

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101281309
VA
207RG0100X
Gastroenterology Physician
01098255A
IN
207RG0100X
Gastroenterology Physician
MD474258
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300122944
IN
Enumeration date
06/02/2015
Last updated
01/03/2026
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