Provider Demographics
NPI:1417285578
Name:BANGAR, MANEESHA DNYANDEO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANEESHA
Middle Name:DNYANDEO
Last Name:BANGAR
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 1:530 E 234TH ST
Mailing Address - Street 2:APT 3F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-2453
Mailing Address - Country:US
Mailing Address - Phone:917-498-5499
Mailing Address - Fax:
Practice Address - Street 1:530 E 234TH ST
Practice Address - Street 2:APT 3F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-2453
Practice Address - Country:US
Practice Address - Phone:917-498-5499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program