Provider Demographics
NPI:1295420099
Name:MULANEY, BIANCA (MD, MSC, MPH)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:MULANEY
Suffix:
Gender:F
Credentials:MD, MSC, MPH
Other - Prefix:
Other - First Name:BIANCA
Other - Middle Name:
Other - Last Name:MULANEY-TOPKAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MSC, MPH
Mailing Address - Street 1:3255 BRIDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-7903
Mailing Address - Country:US
Mailing Address - Phone:863-644-0402
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program