Provider Demographics
NPI:1972676344
Name:SCHORR, MANJU D (MD)
Entity Type:Individual
Prefix:DR
First Name:MANJU
Middle Name:D
Last Name:SCHORR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANJU
Other - Middle Name:D
Other - Last Name:SUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1501 W 24TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6370
Mailing Address - Country:US
Mailing Address - Phone:602-249-2490
Mailing Address - Fax:602-249-2555
Practice Address - Street 1:1501 W 24TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6370
Practice Address - Country:US
Practice Address - Phone:602-249-2490
Practice Address - Fax:602-249-2555
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31316207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH94755Medicare UPIN