Individual
MANISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8673
(908) 790-6524
Mailing address
PO BOX 3247, EVANSVILLE, IN 47731-3247
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
25MA11180100
NJ
2085N0700X
Neuroradiology Physician
MD464019
PA
2085R0202X
Diagnostic Radiology Physician
MD464019
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT202101
PA
Other
Enumeration date
06/12/2012
Last updated
08/26/2021
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