Individual
MANJU THOTHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
(812) 238-7003
Mailing address
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807-1061
(812) 238-7631
(812) 238-7003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01076794A
IN
207Q00000X
Family Medicine Physician
Primary
11017466A
IN
Other
Enumeration date
07/22/2013
Last updated
12/30/2024
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