Individual
MANOJ K DASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 CORNELL AVE, SAVANNAH, GA 31406-2701
(912) 355-4987
Mailing address
1121 CORNELL AVE, SAVANNAH, GA 31406-2701
(912) 355-4987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
022536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00235034A
—
GA
Enumeration date
03/02/2007
Last updated
07/08/2007
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