Srinath, Manoj
Srinath, Manoj is an individual health care provider with primary practice located at 235 Medical Park Blvd , Bristol TN 37620-7455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Srinath, Manoj can be contacted via phone (423) 274-6350.Contact Information
Primary practice address
235 Medical Park Blvd
Bristol TN 37620-7455
Phone: (423) 274-6350
Fax: (423) 274-6354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 035088 | Tennessee |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101230824 | Virginia |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD 35088 | Tennessee |
Profile Details
NPI number | 1356344402 |
---|---|
LBN Legal business name | Srinath, Manoj |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Jul 21st, 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 | 1356344402 | NPPES |
Virginia | MEDICAID | 5856531 | |
Virginia | MEDICAID | 3700035 | |
Virginia | MEDICAID | 3862641 |
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