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Individual

DR. RAJA SEKHAR MANNE

Active
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Individual

DR. RAJA SEKHAR MANNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045540
CT
208M00000X
Hospitalist Physician
045540
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001455402
CT
01
110010327
MEDICARE PTAN
CT
Enumeration date
08/31/2006
Last updated
01/22/2015
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