Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANUEL SANTOS VILLAREAL, MD
ActiveDR. MANUEL SANTOS VILLAREAL, MD is a Allergy & Immunology healthcare provider located in LAKESIDE PARK, Kentucky. NPI 1255389409 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · LAKESIDE PARK, KY
Registration Details
- NPI Number
- 1255389409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.277863719578 yrs)
- Last Updated
- Apr 30, 2018
- Licenses
-
30879 (KY)35070669 (OH)30879 (KY)35070669 (OH)35 070669 (OH)
Practice Information
- Address
-
2300 CHAMBER CENTER DR STE 102LAKESIDE PARK, KY, 410171686Browse KY providers · Browse ZIP 41017
- Phone
- 8597814900
- Fax
- 8595723039
- Primary Specialty
-
Allergy & Immunology
207RA0201X
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Allergy
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.