Individual
MALLIKA MANYAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
Mailing address
1425 P ST NW APT 503, WASHINGTON, DC 20005-1962
(678) 640-8733
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
327798
NY
207P00000X
Emergency Medicine Physician
Primary
MD210011428
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/27/2019
Last updated
08/31/2025
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