Provider Demographics
NPI:1497062129
Name:CHOWDHRY, MANISHA (OD)
Entity Type:Individual
Prefix:MS
First Name:MANISHA
Middle Name:
Last Name:CHOWDHRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 TOPANGA CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-2343
Mailing Address - Country:US
Mailing Address - Phone:818-348-4666
Mailing Address - Fax:
Practice Address - Street 1:8391 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-2343
Practice Address - Country:US
Practice Address - Phone:818-348-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13987 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist