DR. PRERANA ANAND MANOHAR


Address: 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724
Phone: 6167195939

DR. PRERANA ANAND MANOHAR (NPI# 1265423651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265423651
Entity Type Individual
Full Name DR. PRERANA ANAND MANOHAR
Credential M.D.
Practice Address 5043 Cascade Rd Se
Grand Rapids
MI 49546-3724
Practice Telephone 6167195939
Practice Fax Number 6167195933
Mailing Telephone 6167195939
Mailing Fax Number 6167195933
Enumeration Date 2005-11-03
Last Update Date 2010-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301080691 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4713480 05

Office Location

Street Address 5043 CASCADE RD SE
City GRAND RAPIDS
State MI
Zip Code 49546-3724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194935387 Heart and Wellness Institute Specialist 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 2007-05-23
1306855242 Vinayak A Manohar Internal Medicine 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073836250 Raymond Everett Fuller Internal Medicine 15 Andre St Se, Grand Rapids, MI 49507-3010 2010-03-02
1447299599 Ronald Vanderlaan Internal Medicine 1310 E Beltline Ave Se, Ste 130, Grand Rapids, MI 49506-4303 2006-06-05
1942289798 Michael G Dickinson Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525 2006-01-11
1952382137 David Bryan Johnson Internal Medicine 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 2005-11-07
1669984480 Advanced Cardiac & Vascular Centers for Amputation Prevention Plc Internal Medicine 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 2017-11-02
1114389251 Christopher Madison Internal Medicine 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 2016-03-28
1366804940 Malav Parikh Internal Medicine 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 2016-03-23
1265849541 Jose Mariano Tiu Tan II Internal Medicine 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 2014-07-17
1871919290 Spectrum Health Primary Care Partners Internal Medicine 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 2014-03-10
1639591993 Stefan Jovinge Internal Medicine 100 Michigan St Ne, Mc 231, Grand Rapids, MI 49503-2560 2014-01-06
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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