Individual
DR. MANJULA V BURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2325 18TH ST STE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01090133A
IN
207RC0000X
Cardiovascular Disease Physician
036131384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131384
—
IL
01
—
P01152898
RAILROAD
IL
Enumeration date
06/15/2007
Last updated
08/17/2023
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