Provider Demographics
NPI:1558347641
Name:LUHANA, MANISH P (MD)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:P
Last Name:LUHANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082-1282
Mailing Address - Country:US
Mailing Address - Phone:201-207-9846
Mailing Address - Fax:201-626-4548
Practice Address - Street 1:239 BALDWIN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-7503
Practice Address - Country:US
Practice Address - Phone:973-334-2265
Practice Address - Fax:973-335-9091
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2023-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07777600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0080764Medicaid
NJI25751Medicare UPIN
NJ0080764Medicaid