Individual provider · Type 1 NPI

Manish Prajwal Mane Manohar, MD

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1174378327 Active

Practice location

1221 E State St.
Rockford, IL 61104

Call (815) 972-1000 Map

Mailing address

1221 E State St
Rockford, IL 61104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Rockford

See all in Rockford →

About NPI 1174378327

Manish Prajwal Mane Manohar, MD's National Provider Identifier is 1174378327, issued on Apr 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Jul 16, 2024.