Dr.Alif Manejwala

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D29748 Issued in MD

Legal business name

DR.ALIF MANEJWALA

Practice address

1307 Crain Hwy S
Glen Burnie, MD 21061-4024

Phone

(410) 761-0507

Fax

(410) 787-0857

NPI assigned

Oct 3, 2016

Organization subpart

Yes

Parent organization

SOLOAs reported in NPPES

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

Authorized official

Name

Nikki Ansari

Title

Office Manager

Phone

(410) 761-0507

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Dralif Manejwala

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alif Manejwala, MD

  • Gastroenterology Physician
  • Glen Burnie, MD
  • NPI 1679681902
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1831648716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614024",
            "telephone_number": "410-761-0507",
            "fax_number": "410-787-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614024",
            "telephone_number": "410-761-0507",
            "fax_number": "410-787-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ALIF MANEJWALA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-761-0507"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D29748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275781800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679681902",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.