Provider Demographics
NPI:1255535134
Name:ISRANI-JIANG, MANISHA (MD)
Entity type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:
Last Name:ISRANI-JIANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANISHA
Other - Middle Name:
Other - Last Name:ISRANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:256 RATTO RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7959
Mailing Address - Country:US
Mailing Address - Phone:415-298-9346
Mailing Address - Fax:
Practice Address - Street 1:533 PARNASSUS AVENUE
Practice Address - Street 2:STE U138, BOX 0131
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-443-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97157208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics