Provider Demographics
NPI:1164735106
Name:POKHAREL, MONALISHA (MD)
Entity Type:Individual
Prefix:
First Name:MONALISHA
Middle Name:
Last Name:POKHAREL
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 1:151 S BISHOP AVE
Mailing Address - Street 2:APT# L 17
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1971
Mailing Address - Country:US
Mailing Address - Phone:914-409-2722
Mailing Address - Fax:
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:MAIL STOP 310
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446669207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology