Individual
DR. MANJUNATH GOVINDAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7885
(508) 941-6337
Mailing address
753 CLASSON AVE, BROOKLYN, NY 11238-4647
(347) 616-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
273292
MA
208M00000X
Hospitalist Physician
273292
MA
Other
Enumeration date
10/21/2015
Last updated
01/21/2025
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