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Individual

DR. ANJU A. MANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 747-4038
(915) 747-2678
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
L4555
TX
207ZP0101X
Anatomic Pathology Physician
Primary
L4555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177845801
TX
Enumeration date
10/10/2005
Last updated
01/30/2008
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