MANISHA RAJA (NPI# 1003916370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003916370 |
| Entity Type | Individual |
| Full Name | MANISHA RAJA |
| Credential | MD |
| Practice Address |
801 Conover Dr Grand Prairie TX 75051-1519 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142663400 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N5958 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 280566502 | 05 | |
| TX | 280566501 | 05 | |
| TX | 280566503 | 05 | |
| TX | BCBS | 8W0426 | 01 |
| Street Address |
801 CONOVER DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833365 | Banafsheh Moshiree Thomas | Family Medicine | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2005-07-05 |
| 1649769712 | Melina Castillo | Social Worker | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2018-05-04 |
| 1730548769 | Parkland Health & Hospital System | Clinic/Center | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2016-02-18 |
| 1285093526 | Bravo Dental | Dentist | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2016-02-15 |
| 1821497199 | Sheeva Chopra | Pharmacist | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2014-08-22 |
| 1255689394 | Wandana Mistry | Dentist | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2012-08-21 |
| 1730455429 | Dallas County Hospital District | Clinic/Center | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2012-03-27 |
| 1528334216 | Dallas County Hospital District | Pediatrics | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2012-03-27 |
| 1194090001 | Dallas County Hospital District | Psychologist | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2012-03-12 |
| 1972823052 | Triveni Anantharaman Kallur | Pediatrics | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673375 | Imd Healthcare Association, Inc. | Family Medicine | 5857 Tory Dr, Grand Prairie, TX 75052-8500 | 2020-06-16 |
| 1134686926 | Grand Prairie Physician Group LLC | Family Medicine | 517 N Carrier Pkwy Ste J, Grand Prairie, TX 75050-5484 | 2019-02-27 |
| 1922533322 | Kelly Walthius | Family Medicine | 2740 N State Highway 360 Ste 100, Grand Prairie, TX 75050-6402 | 2017-04-24 |
| 1699158964 | Gp Medical Management Group Inc | Family Medicine | 2634 S Carrier Pkwy Ste 105, Grand Prairie, TX 75052-5005 | 2015-07-06 |
| 1407237316 | Bethany Wimberly | Family Medicine | 3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052 | 2015-06-16 |
| 1285047514 | Shaun Gould | Family Medicine | 2740 N Hwy 360 Ste 100, Grand Prairie, TX 75050-6402 | 2014-06-04 |
| 1841543097 | Omni Pain Clinic Inc | Family Medicine | 513 W Jefferson Blvd., Suite 170, Grand Prairie, TX 75051-1639 | 2012-10-24 |
| 1013238401 | Ahmad Ghassan Abazid | Family Medicine | 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX 75052 | 2010-06-20 |
| 1912157819 | Cynthia Denise Mckinney | Family Medicine | 2520 W Interstate 20, Grand Prairie, TX 75052-7280 | 2008-09-26 |
| 1164697850 | Crystal Renee Foster | Family Medicine | 4927 Lakeridge Pkwy, Suite 100, Grand Prairie, TX 75052-3087 | 2008-04-24 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on MANISHA RAJA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.