Individual
HIMANI REDDY MANTHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
401 YOUNGSVILLE HWY STE 200B, LAFAYETTE, LA 70508-5173
(337) 330-8523
Mailing address
104 WESTWOOD DR, APT 482, LAFAYETTE, LA 70506-4036
(337) 414-4268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320550
LA
Other
Enumeration date
06/17/2016
Last updated
08/20/2019
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