Kavitha Nidamanuri, MD
Internal Medicine, Cardiovascular Disease in Canton, OH. Individual provider (NPI-1).
NPI number1528107182
StatusActive
Last updated in NPPESAug 30, 2012
Details
- NPI
- 1528107182
- Entity type
- Individual (NPI-1)
- Name
- Kavitha Nidamanuri
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2007
- Last updated
- Aug 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 35097795 | OH | Yes |
| 207R00000X | Internal Medicine | 235523 | MA |
Other names
- Kavitha Manne (Former Name)
Practice location
2600 6th St SwSuite A2-710
Canton, OH 44710-1702
Phone 330-454-8076
Mailing address
2600 6th St Sw Ste A2-710Canton, OH 44710-1702
Phone 330-454-8076
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