Dr. Srinivasan Ramanuja, M.D.
Allergy & Immunology in Mankato, MN. Individual provider (NPI-1).
NPI number1720184849
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1720184849
- Entity type
- Individual (NPI-1)
- Name
- Dr. Srinivasan Ramanuja
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 49842 | MN | Yes |
| 207K00000X | Allergy & Immunology | A88016 | CA |
Practice location
1421 Premier DrMankato Clinic Wickersham
Mankato, MN 56001
Phone 507-625-1811
Mailing address
Po Box 86741230 E Main St Mankato Clinic Ltd
Mankato, MN 56001
Phone 507-625-1811
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