Donthineni, Manoj
Donthineni, Manoj is an individual health care provider with primary practice located at 700 Walter Reed Blvd Suite # 204, Garland TX 75042-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Donthineni, Manoj can be contacted via phone (972) 487-5462.Contact Information
Primary practice address
700 Walter Reed Blvd Suite # 204
Garland TX 75042-3701
Phone: (972) 487-5462
Fax: (972) 487-5277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M5692 | Texas |
Profile Details
| NPI number | 1497708093 |
|---|---|
| LBN Legal business name | Donthineni, Manoj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497708093 | NPPES |
| Texas | MEDICAID | 1868150-02 |
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