Individual
PRANAV BHUVNESH MANKAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 EAST MARSHALL STREET, RICHMOND, VA 23298
(804) 628-0147
Mailing address
P.O. BOX 980509, RICHMOND, VA 23298
(804) 628-0147
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101261361
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101261361
VA
Other
Enumeration date
06/18/2013
Last updated
10/17/2022
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