Angirekula, Manohar

Angirekula, Manohar is an individual health care provider with primary practice located at 720 Golder Ave , Odessa TX 79761-4442. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Angirekula, Manohar can be contacted via phone (432) 337-3117.

Contact Information

Primary practice address
720 Golder Ave Odessa TX 79761-4442
Phone: (432) 337-3117
Fax: (432) 337-3117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L2101 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L2101 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2002-0295 New Mexico

Profile Details

NPI number 1023007085
LBN Legal business name Angirekula, Manohar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Dec 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023007085 NPPES
Texas MEDICAID 149880003

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