Individual
SHAMITHA ALISA MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 SUMMER ST DEPT OF, WORCESTER, MA 01608-1216
(508) 363-6208
Mailing address
1430 TULANE AVE RM 7550, NEW ORLEANS, LA 70112-2632
(504) 988-6139
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
332689
LA
Other
Enumeration date
07/31/2019
Last updated
11/03/2025
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