Individual
MANJU A. MAVANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-4613
(410) 706-4619
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-4613
(410) 706-4619
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D71314
MD
208M00000X
Hospitalist Physician
044583
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099600
—
MD
01
—
S062-0484
CAREFIRST BC/BS
MD
Enumeration date
08/12/2006
Last updated
10/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us