Individual
DR. HENRIK MANASSARIANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-4200
(208) 302-4255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
86875
WI
2084V0102X
Vascular Neurology Physician
Primary
1361176
ID
2084V0102X
Vascular Neurology Physician
86875
WI
2084V0102X
Vascular Neurology Physician
A100082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1000820
MEDI-CAL PPIN #
CA
Enumeration date
07/09/2006
Last updated
04/14/2026
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