| Kavya H Manu Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (310) 423-3277 | |
| (661) 878-8551 |
| Full Name | Kavya H Manu Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Kavya H Manu (OWNER / PRESIDENT) |
| Authorized Official Contact | 3104233277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavya H Manu Md Inc Po Box 833 Beverly Hills CA 90213-0833 Ph: (661) 878-8150 | Kavya H Manu Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 423-3277 |
| NPI Number | 1043796592 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Medicare PECOS PAC ID | 8729331012 |
|---|---|
| Medicare Enrollment ID | O20181103000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043796592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A144220 (California) | Primary |
| 208M00000X | Hospitalist | A144220 (California) | Secondary |
| Provider Name | Kavya H Manu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174901060 PECOS PAC ID: 9638422926 Enrollment ID: I20181103000192 |
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