DR. MANJU SHIVAN HARIDAS (NPI# 1083805469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083805469 |
| Entity Type | Individual |
| Full Name | DR. MANJU SHIVAN HARIDAS |
| Other Name | MANJU SHIVAN THABOLINGAM |
| Credential | M.D. |
| Practice Address |
4729 N Habana Ave Tampa FL 33614-7113 |
| Practice Telephone | 8132518444 |
| Practice Fax Number | 8132546414 |
| Mailing Telephone | 8132518444 |
| Mailing Fax Number | 8132546414 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
4301104040 | MI | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036128611 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 0F39573 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22301 Foster Winter Dr, Suite 200, Southfield, MI 480753707 | 2485520620 | 2485528602 |
| Street Address |
4729 N HABANA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730162348 | Margarita R Cancio | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2005-11-29 |
| 1326670589 | Amanda Stachura | Nurse Practitioner | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2020-02-06 |
| 1447785290 | Mark Nuguid | Registered Nurse | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2017-04-28 |
| 1669869822 | Shuchi Santoshkumar Pandya | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2015-04-24 |
| 1811389141 | Steven N. Powell | Nurse Practitioner | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2015-02-24 |
| 1295142016 | Catherine R Papatheodorou | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2014-07-14 |
| 1689936437 | Sarah K Shewayish | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2012-06-07 |
| 1891062071 | Nicole Annjeanette Murphy | Nurse Practitioner | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2011-11-16 |
| 1760774269 | Tammi S Mercedes | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2011-05-03 |
| 1306145164 | Meghan Michal Harris | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2011-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659002 | Sq2 Medical Pllc | Internal Medicine | 13172 N Dale Mabry Hwy, Tampa, FL 33618-2406 | 2020-11-02 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| 1164695904 | Yagneshvari S. Patel | Internal Medicine | 4729 N Habana Avenue, Tampa, FL 33614 | 2008-04-11 |
| 1164615076 | Bethany Ann Mitchell | Internal Medicine | 520 Falkenburg Rd, Tampa, FL 33619-7884 | 2007-08-23 |
| 1720061344 | Cynthia A Mayer | Internal Medicine | 4 Columbia Dr, Suite 820, Tampa, FL 33606-3589 | 2005-11-29 |
| 1730162348 | Margarita R Cancio | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2005-11-29 |
| 1184612640 | Charurut Somboonwit | Internal Medicine | 1 Tampa General Cir # G318, Tampa, FL 33606-3571 | 2005-10-10 |
| 1760477442 | Michael E Dunn | Internal Medicine | 3317 W Gandy Blvd, Tampa, FL 33611-2931 | 2005-09-19 |
| 1013395649 | Ju Hee Katzman | Internal Medicine | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2015-05-15 |
| 1669869822 | Shuchi Santoshkumar Pandya | Internal Medicine | 4729 N Habana Ave, Tampa, FL 33614-7113 | 2015-04-24 |
| Find all providers in TAMPA | ||||
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| 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.