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1235242561
SHANTHI MANIVANNAN
MORGANTOWN, WV
NPI
1235242561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 19516)
Enumeration Date
2006-08-17
Last Update Date
2022-04-15
Business Address
DR. SHANTHI MANIVANNAN M. D.
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4800
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Mailing Address
DR. SHANTHI MANIVANNAN M. D.
P. O. BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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