Individual
DR. MANU VACHHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3729 EASTON NAZARETH HWY, SUITE #101, EASTON, PA 18045-8344
(610) 253-1994
(610) 253-8184
Mailing address
3729 EASTON NAZARETH HWY, SUITE #101, EASTON, PA 18045-8344
(610) 253-1994
(610) 253-8184
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
25MA05690300
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MA05690300
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD044703Y
PA
207R00000X
Internal Medicine Physician
25MA05690300
NJ
207R00000X
Internal Medicine Physician
Primary
MD044703Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012696450001
—
PA
01
—
01042001
CAPITAL BLUE CROSS
PA
01
—
02865400
KEYSTONE
PA
01
—
1454853
HIGHMARK BLUE SHIELD
PA
01
—
232684415
HUMANA
PA
01
—
501915
AETNA
PA
01
—
G05393
AMERIHEALTH ADMIN
PA
Enumeration date
03/31/2006
Last updated
02/02/2021
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