Provider Demographics
NPI:1568649929
Name:MANAGED HEALTHCARE INC
Entity Type:Organization
Organization Name:MANAGED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DILIPKUMAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-250-7950
Mailing Address - Street 1:401 W BERWICK ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-6500
Mailing Address - Country:US
Mailing Address - Phone:610-250-7950
Mailing Address - Fax:
Practice Address - Street 1:401 W BERWICK ST
Practice Address - Street 2:SUITE 202
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-6500
Practice Address - Country:US
Practice Address - Phone:610-250-7950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA52459302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA806359Medicare PIN
PA044221LBYMedicare PIN
PAB06475Medicare UPIN