Individual
SISHIR MANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. CANDIDATE
Contact information
Practice address
6431 FANNIN, MSB 7.126, HOUSTON, TX 77030
(832) 325-7080
(713) 512-2239
Mailing address
6431 FANNIN, MSB 7.126, HOUSTON, TX 77030
(832) 325-7080
(713) 512-2239
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
T2432
TX
2084V0102X
Vascular Neurology Physician
Primary
T2432
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
08/03/2021
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