Individual
DR. HARISH MANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E. THIRD STREET, SUITE # C-520, CHATTANOOGA, TN 37403
(423) 778-5661
(423) 778-5664
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 778-5661
(423) 778-5664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53690
TN
207RC0000X
Cardiovascular Disease Physician
53690
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
53690
TN
Other
Enumeration date
06/19/2008
Last updated
06/02/2016
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