Organization Active NPI

Sanjeev V Maniar MD PC

  • Neurology Physician
  • Munster, IN
National Provider Identifier
1306065487
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
50004554A Issued in IN
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

Updated by the provider on Nov 17, 2009

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200896180MedicaidIN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.