Manyam, Bose
Manyam, Bose is an individual health care provider with primary practice located at 201 E Oak Ave , Jonesboro AR 72401-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Manyam, Bose can be contacted via phone (870) 268-4404.Contact Information
Primary practice address
201 E Oak Ave
Jonesboro AR 72401-4163
Phone: (870) 268-4404
Fax: (870) 268-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E-11902 | Arkansas |
Profile Details
| NPI number | 1811952237 |
|---|---|
| LBN Legal business name | Manyam, Bose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Mar 16th, 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 | 1811952237 | NPPES |
| Arkansas | MEDICAID | 231587001 |
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