Individual
DR. MANJUNATH NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2095 W 24TH ST, SUITE A, YUMA, AZ 85364-6242
(928) 328-8393
(928) 344-4166
Mailing address
2095 W 24TH ST, SUITE A, YUMA, AZ 85364-6242
(928) 328-8393
(928) 344-4166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36116
AZ
Other
Enumeration date
09/20/2005
Last updated
08/12/2010
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