NPI 1164549523 · live from the CMS NPI Registry
Manjula Grama Ananthram, MD
Internal Medicine, Advanced Heart Failure and Transplant Cardiology in Norfolk, VA. National Provider Identifier 1164549523, active.
NPI record
| NPI | 1164549523 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Advanced Heart Failure and Transplant Cardiology 207RA0001X |
| Practice location | 600 Gresham Dr, Norfolk, VA 23507 |
| Practice phone | 757-388-3934 |
| Enumerated | March 23, 2007 |
| Last updated | July 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 0101231760 (VA) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 23286 (NE) |
| Internal Medicine, Advanced Heart Failure and Transplant Cardiology primary | 207RA0001X | 0101231760 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.