Provider Demographics
NPI:1922077544
Name:MANWANI, DEEPA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:
Last Name:MANWANI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3415 BAINBRIDGE AVE
Mailing Address - Street 2:CHILDREN'S HOSPITAL AT MONTEFIORE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2403
Mailing Address - Country:US
Mailing Address - Phone:718-741-2342
Mailing Address - Fax:718-920-6506
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:CHILDRENS HOSPITAL AT MONTEFIORE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-741-2342
Practice Address - Fax:718-920-6506
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2092872080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology