Manognya Muttineni
Internist Nephrologist
950 W Walnut St # R2202
Indianapolis
, Indiana 46202
Manognya Muttineni
Internist Nephrologist
950 W Walnut St # R2202
Indianapolis
, Indiana 46202
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Manognya Muttineni
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Manognya Muttineni
- 950 W Walnut St # R2202
- Indianapolis, IN
- Zip : 46202
- Fax : (317) 274-8575
- Phone : (317) 274-7453
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 125066468 | IL |
| N | 111NI0900X | Internist | 125066468 | IL |
| Y | 207RN0300X | Nephrologist | 01080591A | IN |
National Provider Identifier
| NPI | 1023490208 |
|---|---|
| Provider Name | Manognya Muttineni |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2015 |
| Last Update Date | 18/12/2020 |
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.