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MANISHA GUNTHA M.D
NPI 1740979004
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 03, 2023PECOS Enrolled
6071 OUTER DR WEST, DETROIT, MI 48235(313) 966-3300(313) 993-8501 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, May 3, 2023 (2 updates tracked since 2023).

About Manisha Guntha M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANISHA GUNTHA M.D (NPI 1740979004) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740979004
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMANISHA GUNTHACredential: M.D
Location Address6071 OUTER DR WESTDetroit, MI 48235
Mailing Address6071 Outer Dr WestDetroit, MI 48235 · (313) 966-3300 · Fax (313) 993-8501
Phone(313) 966-3300
Fax(313) 993-8501
Sole ProprietorYes
Enumeration DateMay 3, 2023
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1740979004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6071 OUTER DR WEST, Detroit, MI 48235
Open in Google Maps ↗

Other Identifiers 1

Other4351051492MI · Michigan Medical Doctor Educational Limited Licnese

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manisha Guntha M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALLAVI MAKINENI M.D.
Student in an Organized Health Care Education/Training Program
6071 OUTER DR WEST
DETROIT, MI 48235
Wayne County (313) 966-7434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manisha Guntha's NPI number?

The NPI number for Manisha Guntha is 1740979004. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Manisha Guntha located?

Manisha Guntha practices at 6071 Outer Dr West, Detroit, MI 48235. The listed phone number is (313) 966-3300.

What is Manisha Guntha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Manisha Guntha enrolled in Medicare?

Yes. Manisha Guntha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manisha Guntha was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.