Manasa Josyula, MD
Pediatrics in Bloomington, IN. Individual provider (NPI-1).
NPI number1801200043
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1801200043
- Entity type
- Individual (NPI-1)
- Name
- Ms. Manasa Josyula
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2014
- Certification date
- Dec 21, 2021
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01078954A | IN | Yes |
| 208000000X | Pediatrics | 4301105228 | MI |
Practice location
651 S Clarizz BlvdBloomington, IN 47401-5523
Phone 812-333-2304 · Fax 812-330-2306
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Bloomington, IN 47408-9059
Phone 812-353-3800 · Fax 812-353-3770
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