Individual
MANISH ASHOK SHAHA
Active
Individual
MANISH ASHOK SHAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
42658
AL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME176105
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0IRLH
BCBS
FL
Enumeration date
04/07/2016
Last updated
11/15/2025
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