Thakuria, Manisha
Thakuria, Manisha is an individual health care provider with primary practice located at 221 Longwood Ave , Boston MA 02115-5804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology is her primary health care specialty. Thakuria, Manisha can be contacted via phone (617) 732-4918.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 245821 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301088143 | Michigan |
Profile Details
| NPI number | 1760504880 |
|---|---|
| LBN Legal business name | Thakuria, Manisha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Nov 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760504880 | NPPES |
| Massachusetts | MEDICAID | 110087251A |
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