Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUDHAKAR B. MANNAM, MD
Active Sole ProprietorSUDHAKAR B. MANNAM, MD is a Vascular Surgery healthcare provider located in UNIONTOWN, Pennsylvania. NPI 1386629822 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · UNIONTOWN, PA
Registration Details
- NPI Number
- 1386629822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.695350587391 yrs)
- Last Updated
- Mar 5, 2020
- Licenses
-
MD426845 (PA)MD426845 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 EASY ST STE 204UNIONTOWN, PA, 154013128Browse PA providers · Browse ZIP 15401
- Phone
- 7248125580
- Fax
- 2018125682
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.