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Contact Information

MANISHA BANDAMEDE, MD
4500 13TH STREET
GULFPORT, MS39501
 Phone: 228-867-4968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MANISHA BANDAMEDE · (Female)

NPI Number 1033962626
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2024
Last updated 04/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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