Individual
DR. PRASHANTH SIRIGERE MANJUNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3801 SANTA ROSA DR, KINGMAN, AZ 86401-2311
(928) 681-8570
(928) 681-8569
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
M11963
ID
208VP0014X
Interventional Pain Medicine Physician
Primary
64661
AZ
Other
Enumeration date
09/15/2008
Last updated
11/26/2025
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