| NPI | 1467706242 |
|---|---|
| Doing Business As | MANNAM MEDICAL |
| Entity Type | Organization |
| Authorized Contact | PRASHANTH MANNAM Md 718-792-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 233520) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-09-27 |