Individual
MANJUNATH RAMAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 288-3191
Mailing address
956 COURT AVE, SUITE # B226, MEMPHIS, TN 38103-2814
(601) 307-1156
(901) 448-5764
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
19552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01602858
—
MS
05
—
1193526
—
LA
01
—
7218869
AETNA
MS
01
—
P00406872
RAILROAD MEDICARE
MS
Enumeration date
12/06/2006
Last updated
10/18/2016
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