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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANOGNA NOOKATHOTA, MD

Active

MANOGNA NOOKATHOTA, MD is a Internal Medicine healthcare provider located in CARBONDALE, Illinois. NPI 1538575097 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CARBONDALE, IL

Registration Details

NPI Number
1538575097
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2014 (12.133145198224 yrs)
Last Updated
Feb 9, 2024
Licenses
7329 (NE)
036143222 (IL)
MD2022-0086 (NM)

Practice Information

Address
405 W JACKSON ST
CARBONDALE, IL, 629011462
Browse IL providers · Browse ZIP 62901
Phone
6185490721
Fax
6185290479
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Hospitalist
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in CARBONDALE, IL

Name Credential NPI
DR. KELLY COLLEEN HIGGINS MD 1356337133
DR. MICHAEL RAFATI MD 1467512848
ELBERT A FASNACHT II MD 1790834828
DR. SATYANARAYANA RAO VAIDYA MD 1548410095
AMBER LYNN DOYLE D.O. 1992062178
JAMES CLEMENT M.D. 1588089106
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.