Individual
DR. MANJU KORATTIYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 898-7451
Mailing address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 898-7451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S1433
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME156403
FL
Other
Enumeration date
04/13/2016
Last updated
03/08/2023
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