MEDICARE: PREETH MANU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	76938	AZ

General Provider Information

NPI Number	:	1437682630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PREETH MANU M.D.

Provider Business Mailing Address
First Line	:	11308 HARRINGTON ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-9266
Country	:	US
Telephone Number	:	661-381-3275
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5023
Country	:	US
Telephone Number	:	520-626-4551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	01/16/2026

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