Individual
DR. MANJULA WARAD SHIVPUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
17-31 60TH LANE, APT #311, RIDGEWOOD, NY 11385
(347) 398-7787
Mailing address
17-31 60TH LANE, APT #311, RIDGEWOOD, NY 11385
(347) 398-7787
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
NYS PERMIT P80993
NY
Other
Enumeration date
09/04/2012
Last updated
09/30/2013
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