DR. MANISHA SURENDRA RAYTHATHA M.D.
NPI 1790046399
Radiology - Diagnostic Radiology in Mesa, AZ

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since May 31, 2012

6424 E BROADWAY RD STE 101, MESA, AZ 85206(480) 456-9000 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 31, 2019, Oct 18, 2018 (2 updates tracked since 2018).

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About Dr. Manisha Surendra Raythatha M.d. NPPES

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

DR. MANISHA SURENDRA RAYTHATHA M.D. (NPI 1790046399) is an individual diagnostic radiology provider in Mesa, Arizona, licensed in Arizona (55506) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1790046399

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. MANISHA SURENDRA RAYTHATHACredential: M.D.

Location Address6424 E BROADWAY RD STE 101Mesa, AZ 85206-1750

Mailing Address2323 W Rose Garden LnPhoenix, AZ 85027-2530 · (602) 521-6252 · Fax (623) 842-5640

Phone(480) 456-9000

Sole ProprietorNo

Enumeration DateMay 31, 2012

Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration

✔ NPI 1790046399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AZ · 55506

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6424 E BROADWAY RD STE 101, Mesa, AZ 85206

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Other Identifiers 1

Medicaid401584AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARK A. MADSEN M.D.

Radiology (Diagnostic Radiology)