Provider Demographics
NPI:1235494089
Name:KORB, MANISHA KAK (MD)
Entity type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:KAK
Last Name:KORB
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4631 N CONGRESS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3234
Mailing Address - Country:US
Mailing Address - Phone:561-845-0500
Mailing Address - Fax:561-296-1101
Practice Address - Street 1:4631 N CONGRESS AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3234
Practice Address - Country:US
Practice Address - Phone:561-845-0500
Practice Address - Fax:561-296-1101
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1691082084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty