Individual
DR. MANMOHAN VISHWANATH RANADIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTER ST., U.S. ARMY MEDICAL RESEARCH INSTITUTE OF INFECTIUOS DISE, FORT DETRICK, MD 21702-5011
(301) 619-6050
(301) 619-4505
Mailing address
2619 BEAR DEN RD, FREDERICK, MD 21701-5270
(301) 682-3926
(301) 682-3926
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
18334
WV
Other
Enumeration date
12/27/2005
Last updated
03/10/2008
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