| Dr Nivethietha Maniam, MD | |
|
2300 Computer Rd Ste E25, Willow Grove, PA 19090-1737 | |
| (215) 659-5480 | |
| (215) 659-5482 |
| Full Name | Dr Nivethietha Maniam |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 2300 Computer Rd Ste E25, Willow Grove, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578026910 | NPI | - | NPPES |
| 1043943450001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | MD485126 (Pennsylvania) | Primary |
| Entity Name | Allergy & Asthma Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447209101 PECOS PAC ID: 9931189545 Enrollment ID: O20040723000613 |
| Entity Name | Ent And Allergy Associates Of Pennsylvania Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548098759 PECOS PAC ID: 9234668849 Enrollment ID: O20250128001940 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nivethietha Maniam, MD 660 White Plains Rd Ste 400, Tarrytown, NY 10591-5107 Ph: () - | Dr Nivethietha Maniam, MD 2300 Computer Rd Ste E25, Willow Grove, PA 19090-1737 Ph: (215) 659-5480 |
Sheenal V. Patel, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2300 Computer Rd Ste E25, Willow Grove, PA 19090 Phone: 215-659-5480 Fax: 215-659-5482 | |
Dr. Philip Donald Fleekop, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd Ste M66, Willow Grove, PA 19090 Phone: 215-659-5480 Fax: 215-659-5482 | |
John Kuryan, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2300 Computer Rd Ste E25, Willow Grove, PA 19090 Phone: 215-659-5480 Fax: 215-659-5482 | |
Min Jung Ku, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2300 Computer Rd Ste E25, Willow Grove, PA 19090 Phone: 215-659-5480 Fax: 215-659-5482 |