Mannava, Venkata Siva Naga Prasad

Mannava, Venkata Siva Naga Prasad is an individual health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mannava, Venkata Siva Naga Prasad can be contacted via phone (910) 715-2288.

Contact Information

Primary practice address
155 Memorial Dr Pinehurst NC 28374-8710
Phone: (910) 715-2288
Fax: (910) 715-2173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200501235 North Carolina

Profile Details

NPI number 1588636195
LBN Legal business name Mannava, Venkata Siva Naga Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 14th, 2023 - about last year

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 1588636195 NPPES
North Carolina Other 1400X BCBS OF NC
North Carolina Other 5657272 BCBS OF NC
North Carolina Other 7461708 BCBS OF NC
North Carolina Other 183193 BCBS OF NC

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