Provider Demographics
NPI:1619057601
Name:MANKAD, VAISHALI SUKHANI (MD)
Entity Type:Individual
Prefix:
First Name:VAISHALI
Middle Name:SUKHANI
Last Name:MANKAD
Suffix:
Gender:F
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 2446
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-2446
Mailing Address - Country:US
Mailing Address - Phone:828-575-2644
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:10880 DURANT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6628
Practice Address - Country:US
Practice Address - Phone:919-846-0800
Practice Address - Fax:919-846-0880
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00165207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7433321OtherAETNA
NC2287753COtherMEDICARE PTAN
NCP00643303OtherRAILROAD MEDICARE
NC891289UMedicaid
NCFH2200230OtherFIRST CAROLINA CARE
NCP00643303OtherRAILROAD MEDICARE
NCH38964Medicare UPIN