Individual provider · Type 1 NPI

Mullai Manivannan, M.B.B.S.

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1487403960 Active · reactivated Feb 24, 2025

Practice location

234 East 149th Street
Bronx, NY 10451

Call (718) 579-4739 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487403960

Mullai Manivannan, M.B.B.S.'s National Provider Identifier is 1487403960, issued on May 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Feb 24, 2025.