Manda, Winfred C
Manda, Winfred C is an sole proprietor health care provider with primary practice located at 1350 Mackey Branch Dr Ste # 101, Chattanooga TN 37421-3482. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Manda, Winfred C can be contacted via phone (423) 553-1155.Contact Information
Primary practice address
1350 Mackey Branch Dr Ste # 101
Chattanooga TN 37421-3482
Phone: (423) 553-1155
Fax: (423) 553-1124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 38183 | Tennessee |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 038183 | Tennessee |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 038183 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 038183 | Tennessee |
Profile Details
| NPI number | 1659384980 |
|---|---|
| LBN Legal business name | Manda, Winfred C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Apr 29th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659384980 | NPPES |
| Tennessee | MEDICAID | TN0101 |
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