Individual
MANISH MONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MEDICAL PARK, SUITE 202, WHEELING, WV 26003-6390
(304) 243-6442
(304) 243-3715
Mailing address
20 MEDICAL PARK, SUITE 202, WHEELING, WV 26003-6390
(304) 243-6442
(304) 243-3715
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20832
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20832
HEALTH PLAN OF UPPER OH V
—
05
—
2332201
—
OH
05
—
3003156000
—
WV
01
—
55035705700
WV COMPENSATION
WV
Enumeration date
08/09/2005
Last updated
07/08/2007
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