Venkata R Mannava, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

140042 Issued in NY

Practice address

320 Herkimer Road
Utica, NY 13502

Phone

(315) 724-0066

Fax

(315) 735-8233

NPI assigned

Jun 15, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1891739793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HERKIMER ROAD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-724-0066",
            "fax_number": "315-735-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HERKIMER ROAD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-724-0066",
            "fax_number": "315-735-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNAVA",
        "first_name": "VENKATA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "140042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00501386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranjit Mandhare, MD
• Kishore Kumar Mani, MD
• Morgan Elizabeth Manley
• Sara Joyce Manley, RN
• Uma Mannava, M.D.
• Erlene Ann Manning, PMHNP
• Peter Manno
• Karen Manoiero-Appel, LMSW
• Ahmed Mansour Mansour, MD
• Paul John Mantelli Jr., FNP

• Family Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.