Individual
AJAY MANHAPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 EMANCIPATION DR PRIME 2, BLDG 110, ROOM GA-138, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR PRIME 2, BLDG 110, ROOM GA-138, HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
0101252175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4280341
—
MI
Enumeration date
09/07/2006
Last updated
05/11/2021
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