Provider Demographics
NPI:1174584965
Name:MANHAS, SHEILA KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:KAUR
Last Name:MANHAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 PRINCEVILLE CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5524
Mailing Address - Country:US
Mailing Address - Phone:108-506-9583
Mailing Address - Fax:
Practice Address - Street 1:8730 GLENOAKS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2801
Practice Address - Country:US
Practice Address - Phone:818-960-7171
Practice Address - Fax:818-960-7177
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA886592084N0402X, 2084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88659OtherCA
CAA88659OtherCA