Individual
PIUS MANAVALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3090 MCBRIDE CT, SUITE B, HAMILTON, OH 45011
(513) 863-8212
(513) 863-8379
Mailing address
3090 MCBRIDE CT, SUITE B, HAMILTON, OH 45011
(513) 863-8212
(513) 863-8379
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-08-0215M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2288171
—
OH
Enumeration date
02/13/2006
Last updated
11/21/2019
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