Provider Demographics
NPI:1487699096
Name:MANCHIKALAPUDI, PARTHA (MD)
Entity type:Individual
Prefix:DR
First Name:PARTHA
Middle Name:
Last Name:MANCHIKALAPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BUSINESS PARK DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6335
Mailing Address - Country:US
Mailing Address - Phone:757-962-1083
Mailing Address - Fax:757-962-1254
Practice Address - Street 1:844 KEMPSVILLE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:757-261-0700
Practice Address - Fax:757-962-1254
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234437207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010226597Medicaid
NC066FJOtherBC/BS
VA197908OtherANTHEM
VA4108871OtherMAMSI
VA71255OtherOPTIMA HEALTH PLAN
VAPAROtherCIGNA
VAPAROtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VA10007794OtherSENTARA OPTIMA
NC89066FJMedicaid
VAPAROtherAETNA
VAPAROtherMULTIPLAN
VA187103OtherANTHEM BC/BS
VA010383340Medicaid
VA6108871OtherUHC/MAMSI
VA9108871OtherUNITED HEALTH CARE/MAMSI
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA PREMIER HEALTH
VA010226597Medicaid
VAP00336764Medicare PIN
VAPAROtherTRICARE/CHAMPUS
VAH83865Medicare UPIN
VA010383340Medicaid