Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 53267 | OH |
NPI | 1043345739 |
---|---|
Provider Name | Dr. Manna Yegna Sankar |
First Address | Cincinnati, OH 45208-3023 |
Second Address | Cincinnati, OH 45212-3116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/07/2007 |