Individual
ANJALI MANNAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
23525 NE NOVELTY HILL RD STE 111, REDMOND, WA 98053-1995
(425) 296-9555
(425) 517-8020
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61676775
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355995
—
WA
Enumeration date
03/28/2022
Last updated
02/27/2026
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