Provider Demographics
NPI:1710470141
Name:PATEL, MANISHA (MD)
Entity type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANISHA
Other - Middle Name:
Other - Last Name:SADANANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1111 SE FEDERAL HWY STE 327
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3839
Mailing Address - Country:US
Mailing Address - Phone:772-245-0033
Mailing Address - Fax:772-546-7293
Practice Address - Street 1:1111 SE FEDERAL HWY STE 327
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3839
Practice Address - Country:US
Practice Address - Phone:772-245-0033
Practice Address - Fax:772-546-7293
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME159631207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine