Individual
DR. PARTHA MANCHIKALAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
844 KEMPSVILLE RD, SUITE 204, VIRGINIA BEACH, VA 23464
(757) 261-0700
(757) 962-1254
Mailing address
205 BUSINESS PARK DRIVE, SUITE 200, VIRGINIA BEACH, VA 23462-6335
(757) 962-1083
(757) 962-1254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101234437
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101234437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010226597
—
VA
05
—
010383340
—
VA
01
—
066FJ
BC/BS
NC
01
—
10007794
SENTARA OPTIMA
VA
01
—
187103
ANTHEM BC/BS
VA
01
—
197908
ANTHEM
VA
01
—
4108871
MAMSI
VA
01
—
6108871
UHC/MAMSI
VA
01
—
71255
OPTIMA HEALTH PLAN
VA
05
—
89066FJ
—
NC
01
—
9108871
UNITED HEALTH CARE/MAMSI
VA
01
—
PAR
CIGNA
VA
Enumeration date
06/18/2006
Last updated
05/17/2018
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