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General NPI Number Information
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NPI Number | 1508253402
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Entity Type | Individual
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Provider Name | ROHINI MANAKTALA D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | MEMORIAL HERMANN HEART & VASCULAR INSTITUTE-SOUTHWEST 7787 BEECHNUT STREET
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-272-1609
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Fax | 713-272-1615
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Provider Business Mailing Address
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Address Line | MEMORIAL HERMANN SOUTHWEST HOSPITAL 7600 BEECHNUT STREET
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-456-5000
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Fax | 504-842-3278
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T5383
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | T5383
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License Number State | TX
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