Individual
SUMANA MYNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NEONATOLOGY- PEDIATRIC HOSPITALIST, 8 PROSPECT STREET, NICU, NASHUA, NH 03060
(603) 577-2565
(603) 577-2084
Mailing address
8 PROSPECT STREET, NEONATOLOGY, NICU, NASHUA, NH 03060
(603) 577-2617
(603) 577-5683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11819
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203383
—
NH
Enumeration date
09/20/2006
Last updated
09/12/2007
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