Heeraimangalore S Manjunath
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
801 Broadway N
Fargo
, North Dakota 58102-3641
Heeraimangalore S Manjunath
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
801 Broadway N
Fargo
, North Dakota 58102-3641
(701) 234-3813
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Heeraimangalore S Manjunath
- 801 Broadway N
- Fargo, ND
- Zip : 58102-3641
- Fax : (701) 234-3813
- Phone : (701) 234-2371
Second Address
- Heeraimangalore S Manjunath
- 801 Broadway N
- Fargo, ND
- Zip : 58102-3641
- Fax : (701) 234-3813
- Phone : (701) 234-2371
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 9450 | ND |
| N | 207RC0000X | Internist - Cardiovascular Disease | 9450 | ND |
National Provider Identifier
| NPI | 1366472441 |
|---|---|
| Provider Name | Heeraimangalore S Manjunath |
| First Address | Fargo, ND 58102-3641 |
| Second Address | Fargo, ND 58102-3641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1042786 | PREFERREDONE (01) | |
| 12427 | (05) | ND |
| 137120 | UCARE # (01) | ND |
| 2259002 | AMERICA'S PPO/ARAZ # (01) | ND |
| 2501505 | MEDICA # (01) | ND |
| 2501717 | MEDICA # (01) | ND |
| 2502164 | MEDICA (01) | |
| 25027 | NDBS # (01) | ND |
| 27208 | ND BCBS (01) | ND |
| 37999 | LHS # (01) | ND |
| 600G7MA | MN BCBS (01) | MN |
| 806926300 | (05) | MN |
| 806926300 | (05) | ND |
| 917D5MA | MNBS # (01) | ND |
| DA9011042786 | PREFERRED ONE # (01) | ND |
| G56577 | (02) | |
| HP48027 | HEALTHPARTNERS # (01) | ND |
| HP48027 | HEALTPARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.