Manju Nath Mdpa

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J3560 Issued in TX

Legal business name

MANJU NATH MDPA

Practice address

3144 W 28TH Ave Ste C
Amarillo, TX 79109-3169

Phone

(806) 355-6593

Fax

(806) 352-8774

NPI assigned

Mar 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manju Nath, MD

Title

President

Phone

(214) 499-1217

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1457745218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8337",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791148337",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 W 28TH AVE STE C",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093169",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJU NATH MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-499-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J3560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behnaz Mandavi
• Michael S Manderson, MD
• Mangold Enterprise
• Kelli Mangold, LCSW
• Kaitlyn Mangum, CTRS
• Matthew Alan Manley, CRNA
• Gregory Glenn Mann, PA-C
• Leigh Monica Babiera Mantohac
• David Daniel Mara, PHARMD
• Marc Henson, M.D., P.a.

• Physical Medicine & Rehabilitation Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.