Individual
MRS. MANJUSHA THENOZHIYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2118 25TH ST STE C, COLUMBUS, IN 47201-3240
(812) 376-9427
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01086082A
IN
Other
Enumeration date
04/10/2018
Last updated
03/13/2026
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