| Dr Manhiani Pllc | |
|
1000 Secession Ct Martinez GA 30907-9171 | |
| (803) 233-4673 | |
| (706) 210-0771 |
| Full Name | Dr Manhiani Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Secession Ct, Martinez, Georgia |
| Authorized Official Name and Position | Rajwinder Manhiani (PRESIDENT) |
| Authorized Official Contact | 7062109990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manhiani Pllc 1000 Secession Ct Martinez GA 30907-9171 Ph: (803) 233-4673 | Dr Manhiani Pllc 1000 Secession Ct Martinez GA 30907-9171 Ph: (803) 233-4673 |
| NPI Number | 1306149117 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 0941474217 |
|---|---|
| Medicare Enrollment ID | O20111123000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306149117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 056604 (Georgia) | Primary |
| Provider Name | Rajwinder Manhiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483952 PECOS PAC ID: 4981628815 Enrollment ID: I20061113000538 |
| Provider Name | Pedro Hevia Paez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942790878 PECOS PAC ID: 4587917737 Enrollment ID: I20181105002989 |
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