Manjula Tella is a Specialist in Fremont, Nebraska. Manjula Tella practices all healthcare services and medical treatments related to Specialist. The NPI Number for Manjula Tella is 1811050644. The last update date is 2007-07-08.
Manjula Tella's current location address is 2735 N Clarkson St, Fremont, Nebraska. You can contact this provider via phone number 4027279992 and fax number 4027277029. The mailing address for Manjula Tella is 2735 N Clarkson St, Fremont, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manjula Tella |
|---|---|
| Address | 2735 N Clarkson St, Fremont, Nebraska |
| Phone Number | 4027279992 |
| Fax Number | 4027277029 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811050644 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2735 N Clarkson St |
|---|---|
| City | Fremont |
| State | Nebraska (NE) |
| Post Code | 680257717 |
| Phone Number | 4027279992 |
| Fax Number | 4027277029 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18925 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47081644800 | NE | -- | |
| 30003 | NE | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Manjula Tella?
The Manjula Tella has been issued the NPI (National Provider Identifier) 1811050644 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Manjula Tella is geographically located?
The Manjula Tella is physically situated at the following location: 2735 N Clarkson St, Fremont, NE, 680257717.
What is Manjula Tella's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Manjula Tella's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Manjula Tella's 1811050644 issued?
The Manjula Tella's 1811050644 was issued on 2006-12-19.
When was the information regarding Manjula Tella, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Manjula Tella, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.