Provider Demographics
NPI:1043372253
Name:NAGAMANI, MANUBAI (MD)
Entity type:Individual
Prefix:
First Name:MANUBAI
Middle Name:
Last Name:NAGAMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57459
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7459
Mailing Address - Country:US
Mailing Address - Phone:832-632-2653
Mailing Address - Fax:832-632-2984
Practice Address - Street 1:9 PROFESSIONAL PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4142
Practice Address - Country:US
Practice Address - Phone:832-632-2653
Practice Address - Fax:832-632-2984
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9315207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CF434OtherBCBSTX
TX129733506Medicaid
TXP00824414OtherRRMEDICARE
TX8CF434OtherBCBSTX
TX8F23747Medicare PIN