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Contact Information

ANITA MANIKTALA, MD
212 ASHVILLE AVE
SUITE 10
CARY, NC27511
 Phone: 919-859-1136
 Fax: 919-859-4240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANITA MANIKTALA · (Female)

NPI # 1467563726
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9701045
  • NC Medicaid 89011P3
  • NC Medicaid 89131HK
  • Other 7441170 AETNA GROUP NUMBER
  • Other 5476713 AETNA PROVIDER #
  • Other 011P3 BCBS GROUP NUMBER
  • Other 131HK BCBS PROVIDER NUMBER
  • Other 3131308 CIGNA PROVIDER AND GROUP
  • Other 97-01045 LICENSE
  • Other 336395 MAMSI GROUP NUMBER
  • Other 85268 MEDCOST PROVIDER NUMBER
  • Other 6600233 UNITED PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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