Individual
DR. ANIL JOHN MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 LONE OAK RD STE 415, PADUCAH, KY 42003-7943
(270) 442-0103
(270) 442-2109
Mailing address
1532 LONE OAK RD STE 415, PADUCAH, KY 42003-7943
(270) 442-0103
(270) 442-2109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
208114-1
NY
207RC0000X
Cardiovascular Disease Physician
52383
KY
207RI0011X
Interventional Cardiology Physician
208114-1
NY
207RI0011X
Interventional Cardiology Physician
Primary
52383
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01867849
—
NY
Enumeration date
09/02/2005
Last updated
06/20/2023
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