DR. KRISHNAVENI MANKU


Address: 4800 48th St, Valley, AL 36854-3666
Phone: 3347569180

DR. KRISHNAVENI MANKU (NPI# 1497854293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497854293
Entity Type Individual
Full Name DR. KRISHNAVENI MANKU
Practice Address 4800 48th St
Valley
AL 36854-3666
Mailing Address Po Box 686
West Point
GA 31833-0686
Practice Telephone 3347569180
Mailing Telephone 7066431073
Mailing Fax Number 7066431070
Enumeration Date 2006-09-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
00027650 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL STATE LICENSE 00027650 01
DEA REGISTRATION BM8314293 01

Office Location

Street Address 4800 48TH ST
City VALLEY
State AL
Zip Code 36854-3666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568465110 Chattahoochee Valley Hospital Society Skilled Nursing Facility 4800 48th St, Valley, AL 36854-3666 2005-05-27
1689272759 Olivia Jackson Dietitian, Registered 4800 48th St, Valley, AL 36854-3666 2020-10-12
1306476197 Eamc-lanier Ambulatory Surgery Center, LLC Clinic/Center 4800 48th St, Valley, AL 36854-3666 2020-01-21
1780235002 The East Alabama Health Care Authority General Acute Care Hospital 4800 48th St, Valley, AL 36854-3666 2019-09-27
1700375094 Myra Beth Allen Nurse Practitioner 4800 48th St, Valley, AL 36854-3666 2018-05-02
1821448580 The East Alabama Healthcare Authority Rehabilitation Unit 4800 48th St, 2nd Floor, Valley, AL 36854-3666 2016-06-14
1164847596 The East Alabama Health Care Authority Nursing Facility/Intermediate Care Facility 4800 48th St, Valley, AL 36854-3666 2014-02-21
1154666378 Emergency Staffing Solutions Inc Emergency Medicine 4800 48th St, Valley, AL 36854-3666 2012-11-28
1033427034 Shawmut Emergency Physicians Emergency Medicine 4800 48th St, Valley, AL 36854-3666 2010-09-24
1962653428 Jon Chervenak Occupational Therapist 4800 48th St, Valley, AL 36854-3666 2008-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619455516 East Alabama Water, Sewer, & Fire Protection District Ambulance 150 Fob James Drive, Valley, AL 36854 2018-08-02
1962706960 Lanier Internal Medicine Internal Medicine #2 - 48th Street, Valley, AL 36854 2011-01-05
1265600977 Swaroop N Nyshadham Md Surgery 4503 20th Ave, Valley, AL 36854 2008-02-15
1992854731 Chambers County Health Dept-lafayette Mat Public Health or Welfare 5 North Medical Park Dr., Valley, AL 36854 2007-01-10
1013096858 Fernando Sanchez Surgery 21 Medical Pk, Valley, AL 36854 2006-11-03
1467548719 City of Valley Ems Ambulance 20 Fob James Dr., Valley, AL 36854 2006-10-05
1740371954 V Gopikrishna Reddy Internal Medicine 1 48th Street, Valley, AL 36854 2006-09-27
1427153899 Total Respiratory Medications, Inc. Durable Medical Equipment & Medical Supplies 4506 20th Ave., Valley, AL 36854 2006-09-13
1760454631 Chattahoochee Hospice Inc Hospice Care, Community Based 6 Medical Park North, Valley, AL 36854 2006-02-06
1417947565 Rebecca Kay Murphy Speech-Language Pathologist 40800 48th St, Valley, AL 36854 2005-10-28
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740642180 Derek Hunt Emergency Medicine 709 Sugar Bend Cir Sw, Madison, AL 35756-5311 2016-03-24
1740595362 Thomas Kenyon Rose Emergency Medicine 130 Aniska Dr, Gadsden, AL 35901-9133 2010-08-09
1871706960 Eric Wallace Emergency Medicine Paula Bldg 230, 728 Richard Arrington Blvd, Birmingham, AL 35294-0001 2007-05-07
1275610602 Nilam Chiman Patel Emergency Medicine 2427 Glasscott Pt, Hoover, AL 35226-6323 2006-11-01
1306922380 Russell Lee Page II Emergency Medicine 25273 Fifth Ave, Florala, AL 36422 2006-10-31
1518981174 Simmons Ambulance Service Emergency Medicine 1956 Sawyer Dr, Monroeville, AL 36460-7984 2006-07-27
1205803327 D'livro Lemat Beauchamp Emergency Medicine 4705 Woodmere Blvd, Montgomery, AL 36106-3078 2006-03-07
1740277607 Adam Ross Nortick Emergency Medicine 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068-3402 2005-10-05
1750980819 Ivy Creek Specialty Care Emergency Medicine 201 Mariarden Rd, Dadeville, AL 36853-6244 2020-10-20
1396342184 Ivy Creek Specialty Care Emergency Medicine 500 Hospital Dr, Wetumpka, AL 36092-1625 2020-10-05
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Competitor

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City VALLEY
Zip Code 36854

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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