Individual provider · Type 1 NPI

Manju A. Mavanur, MD

Nephrology Physician · Baltimore, MD

NPI number 1164434932 Active

Practice location

22 S Greene St
Baltimore, MD 21201-1544

Call (410) 706-4613 Map

Fax (410) 706-4619

Mailing address

PO Box 64442
Baltimore, MD 21264-4442

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X044583 (CT)
Nephrology Physician Primary 207RN0300XD71314 (MD)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1164434932

Manju A. Mavanur, MD's National Provider Identifier is 1164434932, issued on Aug 12, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Baltimore, MD. The record was last updated on Oct 3, 2012.