Active NPI
Vaishali Sukhani Mankad, MD
- Allergy & Immunology Physician
- Raleigh, NC
National Provider Identifier
1619057601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2001-00165
- Practice address
- 10880 Durant Rd
Suite 200
Raleigh, NC 27614-6628 - Phone
- (919) 846-0800
- Fax
- (919) 846-0880
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 2001-00165 | NC | Primary |
Addresses
Primary practice location
10880 Durant Rd
Suite 200
Raleigh, NC 27614-6628
Mailing address
PO Box 2446
Skyland, NC 28776-2446
Phone (828) 575-2644
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7433321 | Other | NC | AETNA |
| 2287753C | Other | NC | MEDICARE PTAN |
| P00643303 | Other | NC | RAILROAD MEDICARE |
| 891289U | Medicaid | NC | |
| FH2200230 | Other | NC | FIRST CAROLINA CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-00165 | NC | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1619057601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2446",
"city": "SKYLAND",
"state": "NC",
"postal_code": "287762446",
"telephone_number": "828-575-2644",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10880 DURANT RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146628",
"telephone_number": "919-846-0800",
"fax_number": "919-846-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKAD",
"first_name": "VAISHALI",
"middle_name": "SUKHANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "2001-00165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7433321",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2287753C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00643303",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891289U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH2200230",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.