Individual
MANJU BENGALURU JAYANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
825 OLD LANCASTER RD STE 400, BRYN MAWR, PA 19010-3236
(610) 525-1202
(610) 527-0643
Mailing address
825 OLD LANCASTER RD STE 320, BRYN MAWR, PA 19010-3235
(610) 527-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42601
IA
207R00000X
Internal Medicine Physician
6616
NE
207RC0000X
Cardiovascular Disease Physician
MD473091
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD473091
PA
208M00000X
Hospitalist Physician
MD-42601
IA
Other
Enumeration date
08/24/2011
Last updated
08/10/2025
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