Manyam, Vani

Manyam, Vani is an individual health care provider with primary practice located at 1711 N 6Th 1/2 St , Terre Haute IN 47804-2700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Manyam, Vani can be contacted via phone (812) 242-3610.

Contact Information

Primary practice address
1711 N 6Th 1/2 St Terre Haute IN 47804-2700
Fax: (812) 242-3630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01044408A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35-07-1650M Ohio

Profile Details

NPI number 1568415859
LBN Legal business name Manyam, Vani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 30th, 2012 - about 13 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 1568415859 NPPES
Indiana Other P01012926 RAILROAD MEDICARE
Indiana MEDICAID 759111 RAILROAD MEDICARE
Indiana MEDICAID 200063780A RAILROAD MEDICARE

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