Individual
MANISH CHANDRU JOTWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
176-60 UNION TURNPIKE, SUITE 130, FLUSHING, NY 11366-1531
(718) 820-9729
(718) 820-9730
Mailing address
40 VALLEY STREAM PKWY STE 100, ATTN: CREDENTIALING DEPARTMENT, MALVERN, PA 19355-1407
(610) 644-8900
(610) 644-8909
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
231476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646151
—
NY
Enumeration date
03/07/2006
Last updated
12/29/2020
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