Kottapalli, Manjula
Kottapalli, Manjula is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kottapalli, Manjula can be contacted via phone (440) 233-7232.Contact Information
Primary practice address
6140 S Broadway
Lorain OH 44053
Phone: (440) 233-7232
Fax: (440) 204-4315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35-081604 | Ohio |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35.081604 | Ohio |
Profile Details
NPI number | 1730201229 |
---|---|
LBN Legal business name | Kottapalli, Manjula |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2007 |
Last updated | Feb 1st, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730201229 | NPPES |
Ohio | MEDICAID | 2546098 |
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