Individual
DR. MANU BHAKOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 S IDAHO RD, SUITE 206, APACHE JUNCTION, AZ 85219-6496
(480) 889-1234
(480) 889-1235
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 962-0511
(480) 962-0523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24302
OK
208000000X
Pediatrics Physician
Primary
37865
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050810A
—
OK
05
—
300232
—
AZ
01
—
7738422
AETNA
OK
Enumeration date
09/16/2005
Last updated
06/16/2011
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