Provider Demographics
NPI:1508001199
Name:MANHAS, ATISHA PATEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ATISHA
Middle Name:PATEL
Last Name:MANHAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ATISHA
Other - Middle Name:GIRISH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-943-9911
Practice Address - Fax:214-943-6334
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6743207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX337127001Medicaid
TXP01429389OtherRAILROAD MEDICARE
TX337127002Medicaid
TXP01429389OtherRAILROAD MEDICARE