Individual
SHIKARIPUR D MANJUNATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
5960 W PARKER RD STE 278, PMB 121, PLANO, TX 75093-7792
(469) 774-8442
(972) 747-1663
Mailing address
5960 W PARKER RD STE 278, PMB 121, PLANO, TX 75093-7792
(469) 774-8442
(972) 747-1663
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K4140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016JA
BCBS
TX
01
—
250014099
RAILROAD MEDICARE
TX
Enumeration date
08/22/2006
Last updated
09/27/2010
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