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Individual
DR. THIRU MANDYAM ANNASWAMY
Active
Individual
DR. THIRU MANDYAM ANNASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD477514
PA
208100000X
Physical Medicine & Rehabilitation Physician
K7977
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD477514
PA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MD477514
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
K7977
TX
208VP0000X
Pain Medicine Physician
MD477514
PA
Other
Enumeration date
07/22/2006
Last updated
02/01/2023
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