Manisha Khatiwala
Emergency Physician
1925 Pacific Ave
Atlantic City
, New Jersey 08401-6713
Manisha Khatiwala
Emergency Physician
1925 Pacific Ave
Atlantic City
, New Jersey 08401-6713
(440) 717-6600
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Manisha Khatiwala
- 6896 W Snowville Rd
- Brecksville, OH
- Zip : 44141-3214
- Phone : (440) 717-6600
Second Address
- Manisha Khatiwala
- 1925 Pacific Ave
- Atlantic City, NJ
- Zip : 08401-6713
- Phone : (609) 345-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 25MA07978300 | NJ |
National Provider Identifier
| NPI | 1003924259 |
|---|---|
| Provider Name | Manisha Khatiwala |
| First Address | Brecksville, OH 44141-3214 |
| Second Address | Atlantic City, NJ 08401-6713 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 28/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0096181 | (05) | NJ |
| 2645115000 | AMRRIHEALTH (01) | NJ |
| 30035356 | KEYSTONE MERCY (01) | NJ |
| 60021304 | HORIZON NJ HEALTH (01) | NJ |
| BK8531594 | DEA (01) | NJ |
| H20416 | (02) | NJ |
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.