Individual
VARUN MANOHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-4438
Mailing address
400 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-4438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020016989
MO
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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