| Dr Krishnaveni Manku, | |
|
4800 48th St, Valley, AL 36854-3666 | |
| (334) 756-9180 | |
| Not Available |
| Full Name | Dr Krishnaveni Manku |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 4800 48th St, Valley, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497854293 | NPI | - | NPPES |
| 00027650 | Other | AL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 00027650 (Alabama) | Primary |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120612000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krishnaveni Manku, Po Box 686, West Point, GA 31833-0686 Ph: (706) 643-1073 | Dr Krishnaveni Manku, 4800 48th St, Valley, AL 36854-3666 Ph: (334) 756-9180 |
Russell Pruitt Herrington Sr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 48th Street, Valley, AL 36854 Phone: 334-756-9180 Fax: 334-756-5874 | |
Michael Grossman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4505 20th Ave, Valley, AL 36854 Phone: 334-756-9604 Fax: 334-756-9606 | |
Barbara L Perrone, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-9180 |