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DR.ALIF MANEJWALA NPI 1831648716


NPI Information

NPI: 1831648716
Provider Name: DR.ALIF MANEJWALA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1307 CRAIN HWY S
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 761-0507
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DR.ALIF MANEJWALA is a clinic center in Glen Burnie, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR.ALIF MANEJWALA NPI is 1831648716. The provider is registered as an organization entity type.

The provider's business location address is:

1307 CRAIN HWY S
GLEN BURNIE, MD
ZIP 21061-024
Phone: (410) 761-0507
Fax: (410) 787-0857

The provider's authorized official is Nikki Ansari .
The authorized official title is Office Manager and has the following contact phone number (410) 761-0507.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 10/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterD29748MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11679681902OTHERMARYLANDNPI
2275781800MEDICAIDMARYLAND
31679681902MEDICARE OSCAR/CERTIFICATIONMARYLAND
45591MEDICARE PINMARYLAND
51679681902MEDICARE NSCMARYLAND
649259MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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