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1104090935
PRASHANTH MANNAM
BRONX, NY
NPI
1104090935
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Professional Name
PRASHANTH MANNAM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 233520)
Enumeration Date
2008-04-14
Last Update Date
2022-09-27
Business Address
Dr. PRASHANTH MANNAM
1170 CASTLE HILL AVE
BRONX, NY 10462-4810
Phone number: 212-600-8540
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Mailing Address
Dr. PRASHANTH MANNAM
1170 CASTLE HILL AVE
BRONX, NY 10462-4810
Phone number: 212-600-8540
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