Individual
SANTHOSH REDDY MANNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3300
(573) 629-3315
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3300
(573) 629-3314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-17433
HI
207RI0011X
Interventional Cardiology Physician
Primary
2020040841
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2011
Last updated
07/29/2024
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