Provider Demographics
NPI:1326355777
Name:CASENAS, RITCHE LAMANILAO (MD)
Entity Type:Individual
Prefix:DR
First Name:RITCHE
Middle Name:LAMANILAO
Last Name:CASENAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:275 MAMMOTH RD STE 4
Mailing Address - Street 2:DERRYFIELD MEDICAL GROUP
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-4133
Mailing Address - Country:US
Mailing Address - Phone:603-624-4380
Mailing Address - Fax:603-624-4805
Practice Address - Street 1:275 MAMMOTH RD STE 4
Practice Address - Street 2:DERRYFIELD MEDICAL GROUP
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4133
Practice Address - Country:US
Practice Address - Phone:603-624-4380
Practice Address - Fax:603-624-4805
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NH16063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program