Burri, Manjula V

Burri, Manjula V is an individual health care provider with primary practice located at 2325 18Th St Ste 130 , Columbus IN 47201-5387. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Burri, Manjula V can be contacted via phone (812) 379-2020.

Contact Information

Primary practice address
2325 18Th St Ste 130 Columbus IN 47201-5387
Phone: (812) 379-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036131384 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01090133A Indiana

Profile Details

NPI number 1619172228
LBN Legal business name Burri, Manjula V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Aug 17th, 2023 - about last year

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 1619172228 NPPES
Illinois MEDICAID 036131384
Illinois Other P01152898

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