Individual
MANI VANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
275 COLLIER RD NW, SUITE 300, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER ROAD, NW SUITE 300, ATLANTA, GA 30309-1740
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
068332
GA
207RC0000X
Cardiovascular Disease Physician
35.092566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128195
—
GA
05
—
2177773
—
OH
Enumeration date
10/03/2006
Last updated
12/10/2012
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