Individual
DR. MANJUNATH C MAHADEVAPPA
Active
Individual
DR. MANJUNATH C MAHADEVAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-00409
NC
207R00000X
Internal Medicine Physician
35.090795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153RH
BLUE CROSS/BLUE SHIELD OF NORTH CAROLINA
NC
05
—
5912568
—
NC
Enumeration date
05/23/2008
Last updated
12/14/2009
Update your record
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