Individual
PRABHAVATHY MANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-8577
Mailing address
1101 SUMMIT RD, CINCINNATI, OH 45237-2621
(513) 948-3721
(513) 948-8631
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.047065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0606651
—
OH
05
—
64960727
—
KY
Enumeration date
10/02/2006
Last updated
01/14/2016
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