Provider Demographics
NPI:1639124951
Name:MANEY, RHONDA S (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:S
Last Name:MANEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1540 LAKE LANSING RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3756
Mailing Address - Country:US
Mailing Address - Phone:517-913-3910
Mailing Address - Fax:517-913-3911
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3756
Practice Address - Country:US
Practice Address - Phone:517-913-3910
Practice Address - Fax:517-913-3911
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301063185207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M21440036OtherMEDICARE ADVANTAGE
MI1603304692OtherBLUE CARE NETWORK
MI200000002345OtherPHP
MI1019458OtherMCLAREN HEALTH ADVANTAGE
MI1019458OtherMCLAREN HEALTH PLAN-COMMERCIAL
MIP00660303OtherRAILROAD MEDICARE
MI1603304692OtherBLUE CROSS BLUE SHIELD
MI4679600Medicaid
MI7759614OtherAETNA
MI1019458OtherMCLAREN HEALTH PLAN-MEDICAID
MI200000002345OtherPHP FAMILYCARE
MIP00660303OtherRAILROAD MEDICARE
MIM21440036Medicare ID - Type UnspecifiedMEDICARE