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Individual
UMAVATHY MANOHARAN
Active
Individual
UMAVATHY MANOHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48430
WI
207R00000X
Internal Medicine Physician
Primary
Q0312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14172
DEAN HEALTH PLAN
—
01
—
2016377
PHYSICIANS PLUS
—
01
—
37925569003
BCBS MEDICARE SUPPLEMENT
—
01
—
390808509DV
UNITY
—
01
—
67925569
IL PUBLIC AID
—
01
—
67925569003
BCBS
—
Enumeration date
11/20/2006
Last updated
01/27/2022
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