Individual
MANISHA J JARIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6710 OXON HILL RD STE 200B, OXON HILL, MD 20745-1124
(301) 373-7900
(301) 373-6900
Mailing address
13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613-5815
(301) 782-2220
(301) 782-2221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057999
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
722200900
—
MD
Enumeration date
09/13/2005
Last updated
06/08/2022
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