Provider Demographics
NPI:1659387264
Name:MANIAR, MIHIR KISHOR (DO)
Entity Type:Individual
Prefix:DR
First Name:MIHIR
Middle Name:KISHOR
Last Name:MANIAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 NJ-35
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4436
Mailing Address - Country:US
Mailing Address - Phone:848-300-2210
Mailing Address - Fax:848-300-2207
Practice Address - Street 1:135 NJ-35
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724
Practice Address - Country:US
Practice Address - Phone:848-300-2210
Practice Address - Fax:848-300-2207
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB67501207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG80135Medicare UPIN
NJ018381Medicare ID - Type Unspecified