Provider Demographics
NPI:1891992475
Name:HARSHAN, MANJU (MD)
Entity Type:Individual
Prefix:
First Name:MANJU
Middle Name:
Last Name:HARSHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MANJU
Other - Middle Name:
Other - Last Name:M.R. (MADHAVAN REMANI)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 E 85TH ST
Mailing Address - Street 2:16 C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7405
Mailing Address - Country:US
Mailing Address - Phone:267-566-6957
Mailing Address - Fax:
Practice Address - Street 1:10 NATHAN D PERLMAN PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3851
Practice Address - Country:US
Practice Address - Phone:212-420-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244697207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology