MEDICARE: CHITRA S. MANI 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
1	207Q00000X	Family Medicine Physician	27663	MS
2	2080P0208X	Pediatric Infectious Diseases Physician	050538	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811006901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHITRA S. MANI MD

Provider Business Mailing Address
First Line	:	785 OHIO AVE STE 3E
Second Line	:
City	:	CLARKSDALE
State	:	MS
Zip	:	38614-6215
Country	:	US
Telephone Number	:	662-351-0702
Fax Number	:	662-351-0703

Provider Business Practice Location Address
First Line	:	785 OHIO AVE STE 3E
Second Line	:
City	:	CLARKSDALE
State	:	MS
Zip	:	38614-6215
Country	:	US
Telephone Number	:	662-351-0702
Fax Number	:	662-351-0703

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/07/2024

Similar Medicare Providers

1114921806 — GOWDHAMI MOHAN MD
Practice Location Address:

785 OHIO AVE STE 3E
CLARKSDALE, MS
38614-6215

Practice Phone: 662-351-0702
Practice Fax: 662-351-0703

1356383517 — DR. JAMES W MAJOR M.D.
Practice Location Address:

785 OHIO AVE STE 3G
CLARKSDALE, MS
38614-6215

Practice Phone: 662-621-5130
Practice Fax:

1649213455 — DR. JAIYEOLA ADELEYE M.D.
Practice Location Address:

785 OHIO AVE STE 3G
CLARKSDALE, MS
38614-6215

Practice Phone: 662-624-5026
Practice Fax: 662-624-5028

1790875912 — BRYANT HIRSBERG DMD
Practice Location Address:

785 OHIO AVE STE 3H
CLARKSDALE, MS
38614-6215

Practice Phone: 662-627-9001
Practice Fax: 662-627-3662

1003113879 — BRYANT HIRSBERG DMD, INC.
Practice Location Address:

785 OHIO AVE STE 3H
CLARKSDALE, MS
38614-6215

Practice Phone: 662-627-9001
Practice Fax: 662-627-3662

1457120545 — DR. JEANNE MARIAH LILLY PHD
Practice Location Address:

785 OHIO AVE STE 3E
CLARKSDALE, MS
38614-6215

Practice Phone: 662-351-0702
Practice Fax: 662-351-0703

Directions to “ CHITRA S. MANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.