Mannam, Sudhakar B.
Mannam, Sudhakar B. is an sole proprietor health care provider with primary practice located at 205 Easy St Ste 204 , Uniontown PA 15401-3128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mannam, Sudhakar B. can be contacted via phone (724) 812-5580.Contact Information
Primary practice address
205 Easy St Ste 204
Uniontown PA 15401-3128
Phone: (724) 812-5580
Fax: (201) 812-5682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD426845 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD426845 | Pennsylvania |
Profile Details
| NPI number | 1386629822 |
|---|---|
| LBN Legal business name | Mannam, Sudhakar B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Mar 5th, 2020 - about 4 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 | 1386629822 | NPPES |
| Pennsylvania | MEDICAID | 101453513 |
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