Mannava, Venkata Sivanaga Prasad
Mannava, Venkata Sivanaga Prasad is an individual health care provider with primary practice located at 155 Memorial Drive , Pinehurst NC 28374-8710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mannava, Venkata Sivanaga Prasad can be contacted via phone (910) 715-2164.Contact Information
Primary practice address
155 Memorial Drive
Pinehurst NC 28374-8710
Phone: (910) 715-2164
Fax: (910) 715-2173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200501235 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2005-01235 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005-10235 | North Carolina |
Profile Details
| NPI number | 1588636195 |
|---|---|
| LBN Legal business name | Mannava, Venkata Sivanaga Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Sep 12th, 2024 - about 2 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 | 1588636195 | NPPES |
| North Carolina | Other | 5657272 | FIRST HEALTH |
| North Carolina | Other | 1400X | FIRST HEALTH |
| North Carolina | Other | 183193 | FIRST HEALTH |
| North Carolina | Other | 7461708 | FIRST HEALTH |
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