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Contact Information

SIVA K MANNEM, MD
808 N 39TH AVE
YAKIMA, WA98902
 Phone: 509-574-3400
 Fax: 509-574-3464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SIVA K MANNEM · (Male)

NPI # 1073822235
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2010
Last updated 08/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 48381
  • TX License # BP10037503
  • WA License # MD60707157
  • WI License # 64330
  • WA Medicaid 2072035
Hospital affiliation(s)
  • KITTITAS VALLEY COMMUNITY HOSPITAL - (Critical Access)
    603 SOUTH CHESTNUT
    ELLENSBURG, WA 98926
  • PROSSER MEMORIAL HOSPITAL - (Critical Access)
    723 MEMORIAL STREET
    PROSSER, WA 99350
  • YAKIMA VALLEY MEMORIAL HOSPITAL - (Acute Care)
    2811 TIETON DRIVE
    YAKIMA, WA 98902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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