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Individual
MS. SUJATHA MANTHINI
Active
Individual
MS. SUJATHA MANTHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60620629
WA
208M00000X
Hospitalist Physician
061984
GA
208M00000X
Hospitalist Physician
Primary
MD60620629
WA
Other
Enumeration date
04/21/2009
Last updated
09/30/2019
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