Shanthi Manivannan in Morgantown - Internal Medicine

Shanthi Manivannan - NPI 1235242561

Shanthi Manivannan is a Internal Medicine in Morgantown, . Shanthi Manivannan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shanthi Manivannan is 1235242561. The last update date is 2022-04-15.

Shanthi Manivannan's current location address is 1 Stadium Drive, Morgantown, . You can contact this provider via phone number 3045984800 and fax number 3042936963. The mailing address for Shanthi Manivannan is 1 Stadium Drive, Morgantown, . To know further, please read the information below!

Provider Profile Detail

Provider Name Shanthi Manivannan
Address 1 Stadium Drive, Morgantown,
Phone Number 3045984800
Fax Number 3042936963
Sole Proprietor N
Credentials M. D.

NPI Number Detail

NPI Number 1235242561
Provider Enumeration Date 2006-08-17
Last Updated Date 2022-04-15

Provider Mailing Address Detail

Address 1 Stadium Drive
City Morgantown
State (WV)
Post Code 26506
Phone Number 3045984800
Fax Number 3042936963

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 19516
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
82277000 WV --

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FAQs about Shanthi Manivannan

What is the unique 10-digit identifier code issued to Shanthi Manivannan by the Centers for Medicare & Medicaid Services?

The Shanthi Manivannan has been assigned the NPI (National Provider Identifier) 1235242561 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shanthi Manivannan?

The Shanthi Manivannan is physically situated at 1 Stadium Drive, in the city of Morgantown, state of WV, with the postal code 26506.

What is Shanthi Manivannan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shanthi Manivannan is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235242561 to Shanthi Manivannan?

The Centers for Medicare & Medicaid Services originally issued the 1235242561 to Shanthi Manivannan on 2006-08-17.

As of what date were the details related to Shanthi Manivannan most recently updated or revised?

The information pertaining to Shanthi Manivannan, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-15.

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