Individual
DR. MANU VIKRAM VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-5218
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
315896
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
07/21/2022
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