Manjunath, Heeraimangalore S

Manjunath, Heeraimangalore S is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Manjunath, Heeraimangalore S can be contacted via phone (701) 234-2371.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-2371
Fax: (701) 234-3813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 9450 North Dakota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9450 North Dakota

Profile Details

NPI number 1366472441
LBN Legal business name Manjunath, Heeraimangalore S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 17th, 2021 - about 3 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 1366472441 NPPES
North Dakota Other 2259002 AMERICA'S PPO/ARAZ #
North Dakota Other HP48027 AMERICA'S PPO/ARAZ #
North Dakota Other 137120 AMERICA'S PPO/ARAZ #
North Dakota Other 27208 AMERICA'S PPO/ARAZ #
North Dakota Other 917D5MA AMERICA'S PPO/ARAZ #
North Dakota MEDICAID 12427 AMERICA'S PPO/ARAZ #
North Dakota Other 2501717 AMERICA'S PPO/ARAZ #
North Dakota Other 2502164 AMERICA'S PPO/ARAZ #
North Dakota MEDICAID 806926300 AMERICA'S PPO/ARAZ #
North Dakota Other DA9011042786 AMERICA'S PPO/ARAZ #
North Dakota Other 25027 AMERICA'S PPO/ARAZ #
North Dakota Other 37999 AMERICA'S PPO/ARAZ #
North Dakota Other 600G7MA AMERICA'S PPO/ARAZ #
North Dakota Other HP48027 AMERICA'S PPO/ARAZ #
North Dakota Other 1042786 AMERICA'S PPO/ARAZ #
North Dakota MEDICAID 806926300 AMERICA'S PPO/ARAZ #
North Dakota Other 2501505 AMERICA'S PPO/ARAZ #

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