MANAVENDRA BAKHSHI (NPI# 1710961941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710961941 |
| Entity Type | Individual |
| Full Name | MANAVENDRA BAKHSHI |
| Credential | MD |
| Practice Address |
100 E Lehigh Ave # Mab-204 Philadelphia PA 19125-1012 |
| Mailing Address |
Po Box 820933 Philadelphia PA 19182-0933 |
| Practice Telephone | 2157071136 |
| Practice Fax Number | 2157071142 |
| Mailing Telephone | 2157071136 |
| Mailing Fax Number | 2157071142 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD052164L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0803108000 | 01 |
| PA | HEALTH NET | 3Y5968 | 01 |
| PA | 001604820 | 05 | |
| PA | AMERICHOICE | 01604820-07 | 01 |
| PA | HIGHMARK BLUE SHIELD | 778197 | 01 |
| PA | RAILROAD MEDICARE | P00022197 | 01 |
| PA | AETNA PPO | 5959583 | 01 |
| PA | MEDICARE GROUP TPI | 597586 | 01 |
| PA | BRAVO HEALTH | 2653 | 01 |
| PA | AETNA HMO | 3207161 | 01 |
| PA | COVENTRY HEALTH AMERICA | 451504 | 01 |
| PA | RAILROAD MEDICARE GROUP TPI | CD4829 | 01 |
| PA | KEYSTONE MERCY HEALTH PLA | 1072701 | 01 |
| Street Address |
100 E LEHIGH AVE # MAB-204 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1346651130 | Chukwunweike Nwosu | Internal Medicine | 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 | 2014-05-14 |
| 1053736611 | Mary Osbakken | Internal Medicine | 29 W Walnut Ln, Philadelphia, PA 19144-2609 | 2014-02-19 |
| 1275969131 | Vohra Post Acute Care Physicians of The Northeast Pa | Internal Medicine | 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 | 2013-09-23 |
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1720322969 | Robert Alan Keisman | Internal Medicine | 300 Spring Garden St, Philadelphia, PA 19123-2932 | 2012-11-10 |
| 1497058390 | Urban Health Initiatives, Inc. | Internal Medicine | 1408 S. Broad Street, Philadelphia, PA 19146-4808 | 2010-12-15 |
| 1104133354 | Rajendra N Seth Md Associates | Internal Medicine | 5901 Summerdale Ave, Philadelphia, PA 19149-3626 | 2010-09-09 |
| 1194040436 | Paul Nicolas Fiorilli | Internal Medicine | 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 | 2010-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
Please comment or provide details below to improve the information on MANAVENDRA BAKHSHI.
| 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.