Manda, Ramanuja R
Manda, Ramanuja R is an individual health care provider with primary practice located at 6308 8Th Ave Ste 3060, Kenosha WI 53143-5082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Manda, Ramanuja R can be contacted via phone (262) 656-8271.Contact Information
Primary practice address
6308 8Th Ave Ste 3060
Kenosha WI 53143-5082
Phone: (262) 656-8271
Fax: (262) 656-8255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27743 | Wisconsin |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 27743 | Wisconsin |
Profile Details
| NPI number | 1407830698 |
|---|---|
| LBN Legal business name | Manda, Ramanuja R |
| Credentials | MD FACC FCCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Sep 15th, 2009 - about 15 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 | 1407830698 | NPPES |
| Wisconsin | MEDICAID | 1407830698 | |
| Wisconsin | MEDICAID | 30745100 |
Popular Providers
-
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Bayat, Hamed
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Sanborn, Timothy A.
6308 8Th Ave , Kenosha WI 53143 -
Silenzi, Anna Ck
6308 8Th Ave Suite 3030, Kenosha WI 53143-5031 -
Fullin, Kevin J
6308 8Th Ave Suite 3060, Kenosha WI 53143-5082 -
Kessler, Eric
10400 75Th St , Kenosha WI 53142-7884 -
Backer, Thomas S
3905 Brookside Pkwy Ste 202 , Alpharetta GA 30022-4425 -
Kreager, Michael C
6308 8Th Ave Ste 3060, Kenosha WI 53143-5082