Individual
DR. MANOHAR RODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22941
MS
2085R0202X
Diagnostic Radiology Physician
235770
MA
2085R0202X
Diagnostic Radiology Physician
741-L
MS
2085R0202X
Diagnostic Radiology Physician
Primary
74184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03805202
—
MS
05
—
158727
—
AL
Enumeration date
07/17/2008
Last updated
05/31/2023
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