Provider Demographics
NPI:1952662926
Name:MANKAME, SIDDHI ANIL (MD)
Entity Type:Individual
Prefix:
First Name:SIDDHI
Middle Name:ANIL
Last Name:MANKAME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 SW 10TH AVE
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1301
Mailing Address - Country:US
Mailing Address - Phone:785-354-6241
Mailing Address - Fax:785-270-4343
Practice Address - Street 1:901 SW GARFIELD AVE FL 2
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1670
Practice Address - Country:US
Practice Address - Phone:785-354-9591
Practice Address - Fax:785-354-0523
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2022-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-39725207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease