Provider Demographics
NPI:1497492250
Name:NAQASH, MANASI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANASI
Middle Name:
Last Name:NAQASH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MANASI
Other - Middle Name:
Other - Last Name:NAQASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:13500 SALAMONE WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46074-8425
Mailing Address - Country:US
Mailing Address - Phone:812-764-8998
Mailing Address - Fax:
Practice Address - Street 1:11630 OLIO RD STE 100
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7678
Practice Address - Country:US
Practice Address - Phone:317-527-4674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IN12013840A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program