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Organization

DR.ALIF MANEJWALA

Active
Find providers by NPI
Organization

DR.ALIF MANEJWALA

Active
Parent organization
SOLO
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLO
Authorized official
NIKKI ANSARI (OFFICE MANAGER)
(410) 761-0507
Entity
Organization

Contact information

Practice address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 761-0507
(410) 787-0857
Mailing address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 761-0507
(410) 787-0857

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D29748
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679681902
NPI
MD
05
275781800
MD
Enumeration date
10/03/2016
Last updated
10/03/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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