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NPI Code Detail

MEDICARE: MR. PALANI MANIGUNDAN

MEDICARE:  MR. PALANI  MANIGUNDAN
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
1225100000XPhysical Therapist1257598TX

General Provider Information

NPI Number : 1871950139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PALANI MANIGUNDAN
Provider Business Mailing Address
First Line : 4640 HEDGCOXE RD
Second Line : APT 1328
City : PLANO
State : TX
Zip : 75024-3885
Country : US
Telephone Number : 260-484-4131
Fax Number :
Provider Business Practice Location Address
First Line : 9009 WHITE ROCK TRL
Second Line :
City : DALLAS
State : TX
Zip : 75238-3347
Country : US
Telephone Number : 214-355-3339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2016
Last Update Date : 01/18/2016

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Directions to “ MR. PALANI MANIGUNDAN ” Practice Location

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