person
Perathu Kannu Rakesh Manivannan
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1912468513

Perathu Kannu Rakesh Manivannan is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Perathu Kannu Rakesh Manivannan practices in Charleston, WV. The NPI Number for Perathu Kannu Rakesh Manivannan is 1912468513 and holds a License No. (West Virginia).

The current practice location address for Perathu Kannu Rakesh Manivannan is 3200 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-5590.

Location: 3200 Maccorkle Ave Se, Charleston, WV, 25304
person
Provider Profile Details
NPI Number
1912468513
Provider Name
Perathu Kannu Rakesh Manivannan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Ave Se, Charleston, WV, 25304
Phone Number
304-388-5590
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
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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