Organization
MANNAN MD MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOYEB SIKDER (MANAGER)
(606) 886-8880
Entity
Organization
Contact information
Practice address
5230 KY ROUTE 321, SUITE 6, PRESTONSBURG, KY 41653-9168
(606) 889-9994
(606) 889-0909
Mailing address
5230 KY ROUTE 321, SUITE 6, PRESTONSBURG, KY 41653-9168
(606) 889-9994
(606) 889-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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