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Individual

VAISHALI SUKHANI MANKAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10880 DURANT RD, SUITE 200, RALEIGH, NC 27614-6628
(919) 846-0800
(919) 846-0880
Mailing address
PO BOX 2446, SKYLAND, NC 28776-2446
(828) 575-2644
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2001-00165
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2287753C
MEDICARE PTAN
NC
01
7433321
AETNA
NC
05
891289U
NC
01
FH2200230
FIRST CAROLINA CARE
NC
01
P00643303
RAILROAD MEDICARE
NC
Enumeration date
10/16/2006
Last updated
11/13/2015
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