Mannava, Venkata R
Mannava, Venkata R is an individual health care provider with primary practice located at 320 Herkimer Road , Utica NY 13502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mannava, Venkata R can be contacted via phone (315) 724-0066.Contact Information
Primary practice address
320 Herkimer Road
Utica NY 13502
Phone: (315) 724-0066
Fax: (315) 735-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 140042 | New York |
Profile Details
| NPI number | 1891739793 |
|---|---|
| LBN Legal business name | Mannava, Venkata R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 25th, 2008 - about 16 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 | 1891739793 | NPPES |
| New York | MEDICAID | 00501386 |
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