Provider Demographics
NPI:1063234995
Name:MANI, PASCAL
Entity type:Individual
Prefix:
First Name:PASCAL
Middle Name:
Last Name:MANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 HOLMEHURST WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3461
Mailing Address - Country:US
Mailing Address - Phone:240-606-0237
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 34086
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20043-4086
Practice Address - Country:US
Practice Address - Phone:844-218-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker