Manyam, Madhavi

Manyam, Madhavi is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Manyam, Madhavi can be contacted via phone (314) 251-7955.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-7955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2021036903 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101020883 Michigan
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2021036903 Missouri

Profile Details

NPI number 1255751970
LBN Legal business name Manyam, Madhavi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated Sep 24th, 2021 - about 3 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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