Koti R Mannem is a Psychiatry in Green Bay, Wisconsin. Koti R Mannem practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Koti R Mannem is 1720188717. The last update date is 2013-03-25.
Koti R Mannem's current location address is 3150 Gershwin Drive, Green Bay, Wisconsin. You can contact this provider via phone number 9203914700 and fax number 9203914870. The mailing address for Koti R Mannem is 3150 Gershwin Drive, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Koti R Mannem |
|---|---|
| Address | 3150 Gershwin Drive, Green Bay, Wisconsin |
| Phone Number | 9203914700 |
| Fax Number | 9203914870 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720188717 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2013-03-25 |
Provider Mailing Address Detail
| Address | 3150 Gershwin Drive |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543115859 |
| Phone Number | 9203914700 |
| Fax Number | 9203914870 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 24001 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720188717 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Koti R Mannem by the Centers for Medicare & Medicaid Services (CMS)?
The Koti R Mannem has been assigned the NPI (National Provider Identifier) 1720188717. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Koti R Mannem?
The Koti R Mannem is physically situated at 3150 Gershwin Drive, in the city of Green Bay, state of WI, with the postal code 543115859.
What is Koti R Mannem's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Koti R Mannem is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did Koti R Mannem receive its 1720188717 assignment from the Centers for Medicare & Medicaid Services?
The Koti R Mannem was assigned its 1720188717 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Koti R Mannem most recently updated or revised?
The details related to Koti R Mannem, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-25.
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