PERATHU KANNU RAKESH MANIVANNAN

CHARLESTON, WV
NPI1912468513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WV  31337)
Enumeration Date2019-03-26
Last Update Date2025-10-28
Business Address
PERATHU KANNU RAKESH MANIVANNAN MD
501 MORRIS STREET
CHARLESTON, WV 25301
Phone number: 304-388-5432
Mailing Address
PERATHU KANNU RAKESH MANIVANNAN MD
400 ASSOCIATION DRIVE SUITE 102
CHARLESTON, WV 25311
Phone number: 304-760-7536