Manjunath, Kallanna

Manjunath, Kallanna is an individual health care provider with primary practice located at 920 Lark Dr , Albany NY 12207-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Manjunath, Kallanna can be contacted via phone (518) 465-4771.

Contact Information

Primary practice address
920 Lark Dr Albany NY 12207-1300
Fax: (518) 242-4784
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 169790 New York

Profile Details

NPI number 1023009685
LBN Legal business name Manjunath, Kallanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 3rd, 2012 - about 14 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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