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
Fax: (440) 204-4315
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730201229 NPPES
Ohio MEDICAID 2546098

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