Individual
DR. SANDEEP MANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 276-4529
(585) 756-4725
Mailing address
601 ELMWOOD AVE, BOX 665, ROCHESTER, NY 14642
(585) 276-4529
(585) 756-4725
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
56266
CO
207XX0801X
Orthopaedic Trauma Physician
289255
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2011
Last updated
06/29/2023
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