Individual
SHARANYA SAI MANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5590
Mailing address
1124 2ND ST NW, ROCHESTER, MN 55901-2758
(214) 836-2698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
390200000X
WV
Other
Enumeration date
04/27/2023
Last updated
05/10/2023
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