Individual
DR. SIRISHA MANYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8200
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5101021081
MI
Other
Enumeration date
05/24/2011
Last updated
02/05/2018
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