Individual
LAKSHMI PAVAN MANCHINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
119 BELMONT ST, HOSPITAL MEDICINE, WORCESTER, MA 01605-2903
(508) 334-8515
(508) 334-6490
Mailing address
1350 N CAPITOL AVE UNIT 2, SAN JOSE, CA 95132-2521
(914) 414-6159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247038
MA
208M00000X
Hospitalist Physician
Primary
C144266
CA
Other
Enumeration date
02/13/2011
Last updated
09/16/2022
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