Dr. Manish Mannan
Family Doctor - Sports Medicine
12188b N Meridian St
Carmel
, Indiana 46032-4840
Dr. Manish Mannan
Family Doctor - Sports Medicine
12188b N Meridian St
Carmel
, Indiana 46032-4840
(317) 660-2393
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Manish Mannan
- Po Box 80158
- Indianapolis, IN
- Zip : 46280-0158
- Fax : (317) 660-2393
- Phone : (317) 660-2173
Second Address
- Dr. Manish Mannan
- 12188b N Meridian St
- Carmel, IN
- Zip : 46032-4840
- Fax : (317) 660-2393
- Phone : (317) 660-2173
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 01062145A | IN |
National Provider Identifier
| NPI | 1265461388 |
|---|---|
| Provider Name | Dr. Manish Mannan |
| First Address | Indianapolis, IN 46280-0158 |
| Second Address | Carmel, IN 46032-4840 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 23/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01062145A | INDIANA LICENSE (01) | IN |
| 01062145B | CSR (01) | IN |
| BM9788906 | DEA (01) | |
| I68613 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.