Provider Demographics
NPI:1508253402
Name:MANAKTALA, ROHINI (DO)
Entity type:Individual
Prefix:
First Name:ROHINI
Middle Name:
Last Name:MANAKTALA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ROHINI
Other - Middle Name:
Other - Last Name:MANAKTALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:MEMORIAL HERMANN SOUTHWEST HOSPITAL
Mailing Address - Street 2:7600 BEECHNUT STREET
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-456-5000
Mailing Address - Fax:504-842-3278
Practice Address - Street 1:MEMORIAL HERMANN HEART & VASCULAR INSTITUTE-SOUTHWEST
Practice Address - Street 2:7787 BEECHNUT STREET
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-272-1609
Practice Address - Fax:713-272-1615
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5383207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease