MANISHA MEHTA (NPI# 1417136029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417136029 |
| Entity Type | Individual |
| Full Name | MANISHA MEHTA |
| Credential | D.P.M. |
| Practice Address |
15 E Kirby St Suite 102 Detroit MI 48202-4047 |
| Practice Telephone | 3138333090 |
| Practice Fax Number | 3138337843 |
| Mailing Telephone | 3138333090 |
| Mailing Fax Number | 3138337843 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 36. 003467 | OH | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901002275 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DME SUPPLIER NUMBER | 1891939682 | 01 |
| MI | 1316191679 | 05 | |
| MI | 1417136029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407100498 | Manisha A Mehta | Massage Therapist | 11764 Hastings Bridge Rd, Hampton, GA 30228-6271 | 2012-10-30 |
| 1669765384 | Manisha Mehta | Internal Medicine | 6431 Fannin St # 5.134, Houston, TX 77030-1501 | 2011-05-27 |
| 1396997623 | Manisha N. Mehta | Pathology | 670 Albany St, Suite 304, Boston, MA 02118 | 2008-10-17 |
| Street Address |
15 E KIRBY ST SUITE 102 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431963 | C.a.r.e. Chiropractic | Chiropractor | 15 E Kirby St, Suite 111, Detroit, MI 48202-4047 | 2006-07-19 |
| 1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
| 1831630342 | Authentic Living Psychotherapy LLC | Social Worker | 15 E Kirby St, Ste 107 C, Detroit, MI 48202-4047 | 2017-03-16 |
| 1316191679 | Gfc of Southeastern Michigan, PC | Prosthetic/Orthotic Supplier | 15 E Kirby St, Suite 102, Detroit, MI 48202-4047 | 2008-11-12 |
| 1700947892 | Heather Beth Brown | Counselor | 15 E Kirby St, Suite 107e, Detroit, MI 48202-4047 | 2006-12-12 |
| 1518989979 | Soni Wilson | Chiropractor | 15 E Kirby St, Suite 111, Detroit, MI 48202-4047 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831219542 | Foot and Ankle Group, P.C. | Podiatrist | 6533 E Jefferson Ave Apt 317, Detroit, MI 48207-4361 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
| 1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
| 1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
| 1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
| 1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
| 1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
| 1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
| 1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| 1518093400 | Auburn Adult Foot Care, P C | Podiatrist | 4319 Foxpointe Dr, West Bloomfield, MI 48323-2615 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
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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.