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Individual
MANOGNA PENDYALA
Active
Individual
MANOGNA PENDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0029502
DE
207R00000X
Internal Medicine Physician
Primary
D0106871
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
06/18/2026
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