Individual
DR. KRISHNA N. MANVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 595-1911
(562) 595-1911
Mailing address
4712 E 2ND ST # 533, LONG BEACH, CA 90803-5309
(562) 342-3001
(562) 342-3001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77353Z
—
CA
Enumeration date
05/17/2006
Last updated
11/18/2015
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