Dr Manju Kanagarla, DDS is a
Dentist - General Practice based in Midwest City, Ok 73110, Oklahoma. Dr Manju Kanagarla is licensed to practice in Oklahoma (license number 7055) and her current practice location is
1200 S Air Depot Blvd, Midwest City, Ok 73110, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 494-8092.
NPI number for Dr Manju Kanagarla is 1104318237 and her current mailing address is 1200 S Air Depot Blvd, Midwest City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104318237.
Healthcare Provider's Profile
| Full Name | Dr Manju Kanagarla |
|---|
| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 1200 S Air Depot Blvd, Midwest City, Ok 73110, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104318237
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 06/12/2018
Medical Identifiers
Medical identifiers for Dr Manju Kanagarla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104318237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 7055 (Oklahoma) | Secondary |
| 1223G0001X | Dentist - General Practice | 7055 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manju Kanagarla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Manju Kanagarla, DDS 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 Ph: (405) 494-8092 | Dr Manju Kanagarla, DDS 1200 S Air Depot Blvd, Midwest City, Ok 73110, OK 73110 Ph: (405) 494-8092 |
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