Individual
MANISHA PALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2012-01311
NC
390200000X
Student in an Organized Health Care Education/Training Program
141622
NC
Other
Enumeration date
05/29/2007
Last updated
06/28/2012
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