Individual
DR. MANNU SHERGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
308133
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
308133
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OT023937
PA
208M00000X
Hospitalist Physician
308133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308133
STATE LICENSE
NY
01
—
OT023937
STATE LICENSE
PA
Enumeration date
06/07/2017
Last updated
08/03/2026
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