Individual
DR. MAHESH MOHANDAS MANSUKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PATHOLOGY ADMINISTRATION PH1564W, NEW YORK, NY 10032
(212) 305-2646
Mailing address
96 HICKS LN, GREAT NECK, NY 11024-2123
(212) 305-2646
(212) 305-2301
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
222689
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
222689-1
NY
Other
Enumeration date
02/06/2007
Last updated
08/02/2018
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