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Individual

DR. MANGA PRASHANTI ATLURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
PO BOX 8423, NEWCO CANCER SERVICES, GREENVILLE, NC 27835-8423

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2008-01999
NC
207RH0003X
Hematology & Oncology Physician
Primary
30248
WV
207RH0003X
Hematology & Oncology Physician
A96396
CA
207RH0003X
Hematology & Oncology Physician
MD474052
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151HW
BCBS NC
NC
05
1932275609
NC
Enumeration date
11/27/2006
Last updated
04/08/2022
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