National Provider Identifier
Kathleen Anne Mannava, M.D.
Kathleen Anne Mannava, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 487-1400.
Profile Overview
- NPI
- 1427284488
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- June 04, 2009
- Last Updated
- June 29, 2023
Practice Location
- 400 Red Creek Dr Ste 200
- Rochester, NY 14623-4281
Phone: (585) 487-1400
Mailing Address
- 601 Elmwood Ave Box 697
- Rochester, NY 14642-0001
Specialties
- Dermatology Physician (207N00000X)
- Dermatopathology (Pathology) Physician (207ZD0900X)
Endpoints
- kmannava118158@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1427284488
- Entity Type
- Individual
- Last Name
- Mannava
- First Name
- Kathleen
- Middle Name
- Anne
- Credential
- M.D.
- Provider Other Last Name
- Carroll
- Provider Other First Name
- Kathleen
- Provider Other Middle Name
- Anne
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Ave Box 697
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7546
- Practice Street Address
- 400 Red Creek Dr Ste 200
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4281
- Practice Country
- US
- Practice Phone
- (585) 487-1400
- Practice Fax
- (585) 487-1188
- Enumeration Date
- June 04, 2009
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), Dermatopathology (Pathology) Physician (207ZD0900X)