Manohar, Namala Luke

Manohar, Namala Luke is an sole proprietor health care provider with primary practice located at 11- Ralph Place , Staten Island NY 10304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Manohar, Namala Luke can be contacted via phone (718) 815-1412.

Contact Information

Primary practice address
11- Ralph Place Staten Island NY 10304
Fax: (718) 815-1413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 129529 New York

Profile Details

NPI number 1225099856
LBN Legal business name Manohar, Namala Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Feb 9th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225099856 NPPES
New York MEDICAID 001142254

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