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Dr. Manisha Thakuria, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1760504880

Manisha Thakuria is a Student in an Organized Health Care Education/Training Program based in Brookline, MA. Manisha Thakuria practices in Boston, MA and has the professional credentials of MD. The NPI Number for Manisha Thakuria is 1760504880 and holds a License No. 245821 (Massachusetts).

The current practice location address for Manisha Thakuria is 221 Longwood Ave, Boston, MA and can be reached out via phone at 617-732-4918.

Location: 221 Longwood Ave, Boston, MA, 02445-6007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760504880
Provider Name
Manisha Thakuria
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
221 Longwood Ave, Boston, MA, 02445-6007
Phone Number
617-732-4918
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110087251A 05 MA
institution
Provider Business Practice Location Address Details
Address
221 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5804
Phone Number
617-732-4918
Fax Number
person
Provider Business Mailing Address Details
Address
221 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5804
Phone Number
617-732-4918
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Clinical & Laboratory Dermatological Immunology
Taxonomy
207NI0002X
License No.
4301088143 (Michigan)
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
245821 (Massachusetts)
Definition
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.
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