Individual
MANJUNATH GOPAL RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 845-8356
Mailing address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 845-8356
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
MD181855
OR
207RI0011X
Interventional Cardiology Physician
Primary
ME172591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127914600
—
FL
Enumeration date
08/22/2007
Last updated
02/09/2026
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