person
Manisha Guntha, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1740979004

Manisha Guntha is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Manisha Guntha practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Manisha Guntha is 1740979004 and holds a License No. (Michigan).

The current practice location address for Manisha Guntha is 6071 Outer Dr West, Detroit, MI and can be reached out via phone at 313-966-3300 and via fax at 313-993-8501.

Location: 6071 Outer Dr West, Detroit, MI, 48235
person
Provider Profile Details
NPI Number
1740979004
Provider Name
Manisha Guntha
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6071 Outer Dr West, Detroit, MI, 48235
Phone Number
313-966-3300
Fax Number
313-993-8501
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4351051492 01 MI MICHIGAN MEDICAL DOCTOR EDUCATIONAL LIMITED LICNESE
institution
Provider Business Practice Location Address Details
Address
6071 Outer Dr West
City
State
Zip
48235
Phone Number
313-966-3300
Fax Number
313-993-8501
person
Provider Business Mailing Address Details
Address
6071 Outer Dr West
City
State
Zip
48235
Phone Number
313-966-3300
Fax Number
313-993-8501
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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