HANISHA MANICKAVASAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172780

License Status

ACTIVE

Business

Title

First Name

HANISHA

Last Name

MANICKAVASAGAN

Business Name

HANISHA MANICKAVASAGAN MD

Original Issue Date

11/17/2024

Effective Date

11/17/2024

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19103

Ever Disciplined

LastModifiedDate

10/13/2025