Provider Demographics
NPI:1023532918
Name:MANCHAIAH, VINAYA (AUD, MBA, PHD)
Entity type:Individual
Prefix:DR
First Name:VINAYA
Middle Name:
Last Name:MANCHAIAH
Suffix:
Gender:M
Credentials:AUD, MBA, PHD
Other - Prefix:DR
Other - First Name:VINAYA
Other - Middle Name:
Other - Last Name:MANCHAIAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1635 AURORA CT FL 6
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2541
Mailing Address - Country:US
Mailing Address - Phone:720-848-2820
Mailing Address - Fax:
Practice Address - Street 1:1635 AURORA CT FL 6
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80731231H00000X
COAUD.0001123231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist