Reddy, Raju Manga
Reddy, Raju Manga is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd # 67 , Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Reddy, Raju Manga can be contacted via phone (503) 494-7680.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd # 67
Portland OR 97239-3011
Phone: (503) 494-7680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD202240 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61154902 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD202240 | Oregon |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD61154902 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD61154902 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD202240 | Oregon |
Profile Details
| NPI number | 1114218070 |
|---|---|
| LBN Legal business name | Reddy, Raju Manga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2011 |
| Last updated | May 25th, 2021 - about 5 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 | 1114218070 | NPPES |
| Florida | MEDICAID | 021722600 |
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