Individual
VIGNAN MANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2353
(702) 671-2507
(702) 671-5198
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-2014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60759252
WA
207RG0100X
Gastroenterology Physician
Primary
19095
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/16/2014
Last updated
06/15/2022
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