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NPI Code Detail

MEDICARE: MS. MANVITHA NADELLA MBBS, MD

MEDICARE: MS. MANVITHA NADELLA MBBS, MD
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
1207R00000XInternal Medicine Physician125.088400IL

General Provider Information

NPI Number : 1184559098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MANVITHA NADELLA MBBS, MD
Provider Business Mailing Address
First Line : 1901 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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