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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MANISH SURESH NOTICEWALA, MD

Active

DR. MANISH SURESH NOTICEWALA, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in DOUGLASVILLE, Georgia. NPI 1588922728 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · DOUGLASVILLE, GA

Registration Details

NPI Number
1588922728
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2012 (14.331503608197 yrs)
Last Updated
Nov 14, 2022
Licenses
295921 (NY)
295921 (NY)
93579 (GA)

Practice Information

Address
8901 STONEBRIDGE BLVD STE 200
DOUGLASVILLE, GA, 301342244
Browse GA providers · Browse ZIP 30134
Phone
9432027030
Fax
4709867021
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.