Individual
DR. SRIKRISHNA MANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6488 E MAIN ST STE 120, REYNOLDSBURG, OH 43068-7310
(614) 729-8483
(614) 472-8483
Mailing address
6488 E MAIN ST STE 120, REYNOLDSBURG, OH 43068-7310
(614) 729-8483
(614) 472-8483
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
35.094076
OH
208600000X
Surgery Physician
35094076
OH
2086S0129X
Vascular Surgery Physician
Primary
35094076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2978185
—
OH
Enumeration date
02/15/2007
Last updated
04/08/2021
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