Sushil K Mankani, MD, MPH

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

2012-01701 Issued in NC

Practice address

13830 Balntyn Corp PL
Suite 100
Charlotte, NC 28277-3803

Phone

(704) 759-2580

NPI assigned

Aug 7, 2006

Last updated

Dec 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386374400000",
    "number": "1548279458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 BALNTYN CORP PL",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773803",
            "telephone_number": "704-759-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 BALNTYN CORP PL",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773803",
            "telephone_number": "704-759-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKANI",
        "first_name": "SUSHIL",
        "middle_name": "K",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301048313",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "2012-01701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Parker Mangum, NP
• Sheree Nicole Mangum, LCMHCA
• Michael Maniaci, MD
• Gary Maniloff, MD
• Ryan Manion
• Genia Dreher Manley, SLP
• Joy Manley
• Emily Marie Manlove, MD
• Annabelle Shrader Mann, MCD-SLP
• Brittany Mann

• Preventive Medicine/Occupational Environmental Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; 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.