Individual
ANUSHA MANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 GOETHALS DR STE D, RICHLAND, WA 99352
(509) 942-3080
(509) 942-3085
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3080
(509) 942-3085
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60830547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972920049
—
WA
Enumeration date
03/26/2014
Last updated
11/11/2021
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