Provider Demographics
NPI:1184657959
Name:TREHAN, MANOJ K (MD)
Entity Type:Individual
Prefix:
First Name:MANOJ
Middle Name:K
Last Name:TREHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BRIDLE PATH CT
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-3304
Mailing Address - Country:US
Mailing Address - Phone:516-308-3238
Mailing Address - Fax:516-342-5716
Practice Address - Street 1:9 BRIDLE PATH CT
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-3304
Practice Address - Country:US
Practice Address - Phone:516-308-3238
Practice Address - Fax:516-342-5716
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine