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Individual
MEENAKUMARI MANOHARAN
Active
Individual
MEENAKUMARI MANOHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MT219074
PA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
87682
GA
208D00000X
General Practice Physician
87682
GA
Other
Enumeration date
06/19/2019
Last updated
07/24/2026
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