Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASHANTH SIRIGERE MANJUNATH, M.D
ActiveDR. PRASHANTH SIRIGERE MANJUNATH, M.D is a Interventional Vascular Surgery healthcare provider located in KINGMAN, Arizona. NPI 1629227616 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · KINGMAN, AZ
Registration Details
- NPI Number
- 1629227616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2008 (17.940984753994 yrs)
- Last Updated
- Nov 26, 2025
- Licenses
-
M11963 (ID)64661 (AZ)
Practice Information
- Address
-
3801 SANTA ROSA DRKINGMAN, AZ, 864012311Browse AZ providers · Browse ZIP 86401
- Phone
- 9286818570
- Fax
- 9286818569
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional 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.