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Individual
DR. SIVA KRISHNA MANNEM
Active
Individual
DR. SIVA KRISHNA MANNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10037503
TX
207RH0003X
Hematology & Oncology Physician
64330
WI
207RH0003X
Hematology & Oncology Physician
Primary
MD60707157
WA
207RX0202X
Medical Oncology Physician
48381
KY
207RX0202X
Medical Oncology Physician
64330
WI
Other
Enumeration date
10/05/2010
Last updated
08/07/2019
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