Basic Information
| Provider Information | |||||||||
| NPI: | 1083711345 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DADHANIA | ||||||||
| FirstName: | MANISH | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST # 200 | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563564924 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 COOPER PLZ RM 311 | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422683 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 04/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MA71610 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2341484 | 01 | NJ | UNITED HEALTH CARE | OTHER | 3K5955 | 01 | NJ | HEALTHNET, INC | OTHER | P2938527 | 01 | NJ | OXFORD HEALTH PLAN | OTHER | 3207225 | 01 | NJ | AETNA US HEALTHCARE | OTHER | P00012270 | 01 | NJ | RAILROAD MEDICARE | OTHER | 10916367 | 01 | NJ | CAQH | OTHER | 39923 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 010005262 | 01 | NJ | AMERICHOICE | OTHER | 1174641 | 01 | NJ | HORIZON- NJ HEALTH | OTHER | 1539932 | 01 | NJ | AMERIHEALTH PPO PABS | OTHER | 3553751 | 01 | NJ | CIGNA | OTHER | 9102507 | 05 | NJ | MEDICAID |