Individual
DR. MANU MYSORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7877
(410) 328-1048
Mailing address
110 S PACA ST FL 7, BALTIMORE, MD 21201-1642
(410) 328-7877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0089398
MD
208M00000X
Hospitalist Physician
D89398
MD
Other
Enumeration date
03/22/2016
Last updated
01/06/2026
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