Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 34008974 | OH |
Y | 207RX0202X | Medical Oncology | 34008974 | OH |
NPI | 1164634937 |
---|---|
Provider Name | Dr. Manisha Marie Nanda |
First Address | Miamisburg, OH 45342-6115 |
Second Address | Kettering, OH 45429-1265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3142709 | (05) | OH |