| Manish Dimri Md Pa | |
|
4817 Rangewood Midland TX 79707-2630 | |
| (432) 559-4657 | |
| Not Available |
| Full Name | Manish Dimri Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4817 Rangewood, Midland, Texas |
| Authorized Official Name and Position | Manish Dimri (PRESIDENT) |
| Authorized Official Contact | 4325594657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manish Dimri Md Pa 4817 Rangewood Midland TX 79707-2630 Ph: (432) 559-4657 | Manish Dimri Md Pa 4817 Rangewood Midland TX 79707-2630 Ph: (432) 559-4657 |
| NPI Number | 1740552736 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Medicare PECOS PAC ID | 3274795810 |
|---|---|
| Medicare Enrollment ID | O20120427000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740552736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N3929 (Texas) | Secondary |
| 207R00000X | Internal Medicine | M5134 (Texas) | Primary |
| Provider Name | Manish Dimri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609823111 PECOS PAC ID: 5597790683 Enrollment ID: I20070508000173 |
| Provider Name | Vandana Naithani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912180241 PECOS PAC ID: 1951442086 Enrollment ID: I20100111000646 |
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