Individual
SRIDEVI MANNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197223
PA
208M00000X
Hospitalist Physician
Primary
0101254673
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396066346
—
VA
Enumeration date
06/14/2010
Last updated
03/24/2025
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