Provider Demographics
NPI:1861495467
Name:MANOCHA, JAHNAVI RANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JAHNAVI
Middle Name:RANA
Last Name:MANOCHA
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 1:2701 BABCOCK RD
Mailing Address - Street 2:STE A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4866
Mailing Address - Country:US
Mailing Address - Phone:210-614-3225
Mailing Address - Fax:
Practice Address - Street 1:2701 BABCOCK RD
Practice Address - Street 2:STE A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4866
Practice Address - Country:US
Practice Address - Phone:210-614-3225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4051208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159253701Medicaid
TX8A5583Medicare ID - Type Unspecified
TXH81101Medicare UPIN