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Individual
VIVEK K MANCHANDA
Active
Individual
VIVEK K MANCHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006017511
MO
208VP0000X
Pain Medicine Physician
Primary
2006017511
MO
Other
Enumeration date
08/20/2006
Last updated
04/26/2015
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