Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Manish Shrestha, MD

Individual provider Internal Medicine Physician · NPI 1467125039

Manish Shrestha, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2016, 10 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Rhode Island.

Years since qualifying
10
Licensed in
PA, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-4489
Fax: (401) 793-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 S 5th Ave, West Reading, PA 19611-2143 — (484) 628-5455

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD19717 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT222452 (PA)

Record details

NPI number1467125039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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