Kallanna Manjunath MD

NPI 1023009685 - Pediatrics - 208000000X

NPI Details
NPI 1023009685
Gender Male
Enumeration Date 11/02/2005
Last Updated 04/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
920 LARK DR
ALBANY NY, 12207-1300, US
Phone (518) 465-4771
Fax (518) 242-4784
Business Location
920 LARK DR
ALBANY NY, 12207-1300, US
Phone (518) 465-4771
Fax (518) 242-4784
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 169790
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According to our database, Dr. Kallanna Manjunath MD NPI is 1023009685, taxonomy code is 208000000X and license number is 169790, license state is located at New York. Kallanna Manjunath MD physically located at 920 Lark Dr, Albany NY, 12207-1300. NPI Number Kallanna Manjunath MD has the Individual type.

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1023009685 NPI number is provided on an as is basis without warranty of any kind. 1023009685 is maintained by the National Plan & Provider Enumeration System. The contents of Kallanna Manjunath MD are for informational purposes only.