Search › Pennsylvania › 207RG0100X
Hanisha Manickavasagan, M.D
NPI 1437539640 · on the registry since 2015
Practice
- Address
- 954 Isabel Dr
Lebanon, PA 17042 - Phone
- (717) 376-1180
- Fax
- (717) 273-6937
- Organisation at this address
- Wellspan Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 1088 W Baltimore Pike, Media, PA
- 1402 E County Line Rd, Indianapolis, IN
- 824 N Military Hwy Ste 100, Norfolk, VA
- 2000 Grant Ave Unit 3, Philadelphia, PA
- 500 Martha Jefferson Dr, Charlottesville, VA
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
207RG0100X - Licence states on file
- IN, PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania