Individual
CHITRA S. MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
785 OHIO AVE STE 3E, CLARKSDALE, MS 38614-6215
(662) 351-0702
(662) 351-0703
Mailing address
785 OHIO AVE STE 3E, CLARKSDALE, MS 38614-6215
(662) 351-0702
(662) 351-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27663
MS
2080P0208X
Pediatric Infectious Diseases Physician
Primary
050538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000917738A
—
GA
05
—
200010598
—
MS
05
—
G50538
—
SC
Enumeration date
08/30/2006
Last updated
08/07/2024
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