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Individual

DR. MANJUNATH MARKANDAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, MD

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2016-00182
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
270460
NY
2084A2900X
Neurocritical Care Physician
2016-00182
NC
2084A2900X
Neurocritical Care Physician
86242
SC
2084A2900X
Neurocritical Care Physician
Primary
90419
GA
2084N0400X
Neurology Physician
01064571A
IN
2084N0400X
Neurology Physician
270460
NY
2084N0400X
Neurology Physician
35.095431
OH
2084N0400X
Neurology Physician
D72961
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333112100
MD
05
PENDING
SC
Enumeration date
04/17/2008
Last updated
08/02/2022
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