Individual
MRS. VANI MANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 720-1730
Mailing address
1051 PROFESSIONAL DR, FLINT, MI 48532-3636
(810) 720-1730
(810) 720-1736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301053827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2836051
—
MI
Enumeration date
01/16/2007
Last updated
07/08/2007
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