Individual
MONIKA MANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 W EDMONSTON DR STE 600, ROCKVILLE, MD 20852-1254
(301) 251-0662
(301) 251-7703
Mailing address
PO BOX 60528, POTOMAC, MD 20859-0528
(301) 251-0662
(301) 251-7703
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0059510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407283900
—
MD
01
—
64364702
BCBS MARYLAND
MD
01
—
K4860001
BCBSDC
DC
Enumeration date
08/31/2006
Last updated
09/17/2012
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