Individual
DR. MANI S KAVURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 923-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200501043
NC
207RP1001X
Pulmonary Disease Physician
200501043
NC
207RP1001X
Pulmonary Disease Physician
Primary
MD440719
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001567629
—
PA
05
—
0243621
—
NJ
01
—
140P4
BCBS NC
NC
05
—
5901907
—
NC
Enumeration date
11/30/2005
Last updated
03/06/2012
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