Borge, Manjula Prakash
Borge, Manjula Prakash is an individual health care provider with primary practice located at 560 Riverside Dr Ste A204 , Salisbury MD 21801-4704. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Borge, Manjula Prakash can be contacted via phone (443) 358-6193.Contact Information
Primary practice address
560 Riverside Dr Ste A204
Salisbury MD 21801-4704
Phone: (443) 358-6193
Fax: (443) 358-6197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D66257 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D006257 | Maryland |
Profile Details
| NPI number | 1972685840 |
|---|---|
| LBN Legal business name | Borge, Manjula Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | May 21st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972685840 | NPPES |
| Maryland | MEDICAID | 119591300 |
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