Markandaya, Manjunath
Markandaya, Manjunath is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Markandaya, Manjunath can be contacted via phone (770) 219-9000.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501-3715
Phone: (770) 219-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D72961 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01064571A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 270460 | New York |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 90419 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2016-00182 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 270460 | New York |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 86242 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35.095431 | Ohio |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 2016-00182 | North Carolina |
Profile Details
| NPI number | 1215101514 |
|---|---|
| LBN Legal business name | Markandaya, Manjunath |
| Credentials | MBBS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Aug 2nd, 2022 - about 2 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 | 1215101514 | NPPES |
| Maryland | MEDICAID | 333112100 | |
| Maryland | MEDICAID | PENDING |
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