Fernando, Manellema Nandimitra

Fernando, Manellema Nandimitra is an sole proprietor health care provider with primary practice located at 15 W Milwaukee St Suite 206, Janesville WI 53548-2998. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Fernando, Manellema Nandimitra can be contacted via phone (608) 756-0791.

Contact Information

Primary practice address
15 W Milwaukee St Suite 206 Janesville WI 53548-2998
Phone: (608) 756-0791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 35983-020 Wisconsin

Profile Details

NPI number 1750597886
LBN Legal business name Fernando, Manellema Nandimitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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