Dr. Shanthi Manivannan, M. D.
Internal Medicine in Morgantown, WV. Individual provider (NPI-1).
NPI number1235242561
StatusActive
Last updated in NPPESApr 15, 2022
Details
- NPI
- 1235242561
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shanthi Manivannan
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Certification date
- Apr 15, 2022
- Last updated
- Apr 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 19516 | WV | Yes |
Practice location
1 Stadium DriveMorgantown, WV 26506
Phone 304-598-4800 · Fax 304-293-6963
Mailing address
P. O. Box 897Morgantown, WV 26507-0897
Phone 304-293-7401 · Fax 304-293-6963
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