Rajendra Kumar Manam
Internist Medical Oncology
22301 Foster Winter Dr Second Floor
Southfield
, Michigan 48075-3707
Rajendra Kumar Manam
Internist Medical Oncology
22301 Foster Winter Dr Second Floor
Southfield
, Michigan 48075-3707
(248) 552-0286
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About
Features
Specialties
- Internist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Rajendra Kumar Manam
- 22301 Foster Winter Dr Second Floor
- Southfield, MI
- Zip : 48075-3707
- Fax : (248) 552-0286
- Phone : (248) 552-0620
Second Address
- Rajendra Kumar Manam
- 22301 Foster Winter Dr Second Floor
- Southfield, MI
- Zip : 48075-3707
- Fax : (248) 552-0286
- Phone : (248) 552-0620
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301067586 | MI |
| N | 111NI0900X | Internist | 4301067586 | MI |
| Y | 207RX0202X | Medical Oncology | 4301067586 | MI |
National Provider Identifier
| NPI | 1134237050 |
|---|---|
| Provider Name | Rajendra Kumar Manam |
| First Address | Southfield, MI 48075-3707 |
| Second Address | Southfield, MI 48075-3707 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 28/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H11319 | (02) |
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.