Provider Demographics
NPI:1467573600
Name:MANEK, SALIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SALIL
Middle Name:
Last Name:MANEK
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:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:509-474-6650
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:105 W 8TH AVE STE 318C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2318
Practice Address - Country:US
Practice Address - Phone:509-474-6650
Practice Address - Fax:509-227-7070
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA615982084N0400X
WAMD600458352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8536690Medicaid
WAG8881072Medicare PIN
CAH88626Medicare UPIN