Active NPIIndividual providerSole proprietor

Surjit S Maniktala, MD

Internal Medicine in Brockton, Massachusetts

NPI Number1801980594
Practice location
30 Meadowbrook RD, Brockton, MA 02301-7122
Fax
—
Last updated
March 17, 2018

Surjit S Maniktala is an Internal Medicine based in Brockton, MA. Surjit S Maniktala practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Surjit S Maniktala is 1801980594 and holds a License No. 53518 (MA). The current practice location address for Surjit S Maniktala is 30 Meadowbrook RD, Brockton, MA 02301-7122 and can be reached out via phone at 508-584-9520.

Provider Profile Details

NPI Number
1801980594
Provider Name
Surjit S Maniktala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Meadowbrook RD, Brockton, MA 02301-7122
Phone Number
508-584-9520
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Meadowbrook RD
Brockton, MA 02301-7122
Zip
02301-7122
Phone Number
508-584-9520
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
30 Meadowbrook RD
Brockton, MA 02301-7122
City
Brockton
State
MA
Zip
02301-7122
Phone Number
508-584-9520

License Information

License Number
53518
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Surjit S Maniktala, MD?

The NPI number of Surjit S Maniktala, MD is 1801980594. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Surjit S Maniktala, MD?

Surjit S Maniktala, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 53518.

Where does Surjit S Maniktala, MD practice?

The practice location is 30 Meadowbrook RD, Brockton, MA 02301-7122. The office can be reached at 508-584-9520 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801980594 directly on the NPPES registry website.

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