Mannem, Siva Krishna

Mannem, Siva Krishna is an individual health care provider with primary practice located at 808 N 39Th Ave , Yakima WA 98902. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mannem, Siva Krishna can be contacted via phone (509) 574-3400.

Contact Information

Primary practice address
808 N 39Th Ave Yakima WA 98902
Phone: (509) 574-3400
Fax: (509) 574-3464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10037503 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 64330 Wisconsin
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 48381 Kentucky
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 64330 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60707157 Washington

Profile Details

NPI number 1073822235
LBN Legal business name Mannem, Siva Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2010
Last updated Aug 7th, 2019 - about 6 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 1073822235 NPPES
Washington MEDICAID 2072035

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