Provider Demographics
NPI:1437101383
Name:MANNE, MURTHY G K (MD)
Entity Type:Individual
Prefix:DR
First Name:MURTHY
Middle Name:G K
Last Name:MANNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:934 VANDORA SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3544
Mailing Address - Country:US
Mailing Address - Phone:919-779-2850
Mailing Address - Fax:919-779-5988
Practice Address - Street 1:934 VANDORA SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3544
Practice Address - Country:US
Practice Address - Phone:919-779-2850
Practice Address - Fax:919-779-5988
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8953889Medicaid