Active NPI
Sanjeev V Maniar MD PC
- Neurology Physician
- Munster, IN
National Provider Identifier
1306065487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 50004554A
- Legal business name
- SANJEEV V MANIAR MD PC
- Practice address
- 9250 Columbia Ave
Suite C1
Munster, IN 46321-3538 - Phone
- (219) 836-0039
- Fax
- (219) 836-0288
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjeev V Maniar, MD
- Title
- Owner
- Phone
- (219) 836-0039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 50004554A | IN | Primary |
Addresses
Primary practice location
9250 Columbia Ave
Suite C1
Munster, IN 46321-3538
Mailing address
9250 Columbia Ave
Suite C1
Munster, IN 46321-3538
Phone (219) 836-0039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200896180 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1306065487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE",
"address_2": "SUITE C1",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213538",
"telephone_number": "219-836-0039",
"fax_number": "219-836-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE",
"address_2": "SUITE C1",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213538",
"telephone_number": "219-836-0039",
"fax_number": "219-836-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJEEV V MANIAR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "MANIAR",
"authorized_official_first_name": "SANJEEV",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-836-0039",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "50004554A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200896180",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.