HASITHA DIANA MANOHAR

MAYWOOD, IL
NPI1255810693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036156651)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NJ  432774)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-08-07
Last Update Date2022-05-24
Business Address
Dr. HASITHA DIANA MANOHAR MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 929-320-5939
Mailing Address
Dr. HASITHA DIANA MANOHAR MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000