RAAID HASSAN MANNAA MANNAH (NPI# 1255507117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255507117 |
| Entity Type | Individual |
| Full Name | RAAID HASSAN MANNAA MANNAH |
| Credential | MD |
| Practice Address |
701 W Plymouth Ave Deland FL 32720-3236 |
| Mailing Address |
701 West Plymouth Avenue Deland FL 32720 |
| Practice Telephone | 3869433160 |
| Practice Fax Number | 3869433169 |
| Mailing Telephone | 3869433160 |
| Mailing Fax Number | 3869433169 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME109337 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
701 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273836 | Ivan Menezes | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2005-11-22 |
| 1790319994 | Coreen Kelly | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-26 |
| 1003449117 | Brent Wilkins | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-17 |
| 1497385991 | Kathrine N Rigney | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-01-23 |
| 1427690890 | Delaney Rodriguez | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-10-17 |
| 1275094195 | Eliza Jane Chevalier | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-03-26 |
| 1245798206 | Apryl D Jania | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720 | 2019-03-08 |
| 1093297046 | Michael Angelo Carulli | Pharmacist | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-09-05 |
| 1629559240 | April Kelton | Dietitian, Registered | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-08-22 |
| 1285149229 | Dianne Marie David | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1720381833 | Andrew J. Randolph Md Pa | Internal Medicine | 1025 N Stone St Ste B, Deland, FL 32720-0803 | 2010-12-10 |
| 1538325428 | Blanca Luna Md Pa | Internal Medicine | 636 W Plymouth Ave, Deland, FL 32720-3260 | 2008-07-31 |
| 1770772717 | Mohan L Sharma | Internal Medicine | 231 E Rich Ave, Deland, FL 32724-4357 | 2007-10-16 |
| 1982775706 | Andrew Jerome Randolph | Internal Medicine | 1025 N Stone St, Suite B, Deland, FL 32720-0803 | 2006-11-13 |
| 1053408799 | Mohan L Sharma Md Pa | Internal Medicine | 231 East Rich Ave, Deland, FL 32724 | 2006-10-06 |
| 1184737959 | Bhupendra P Patel | Internal Medicine | 925 N Stone St, Deland, FL 32720-2521 | 2006-08-16 |
| 1295747624 | Giselle Mery | Internal Medicine | 805 N Spring Garden Ave, Deland, FL 32720-3144 | 2006-08-13 |
| 1073521902 | Ananth Krishnan | Internal Medicine | 665 Peachwood Dr, Suite 2, Deland, FL 32720-0903 | 2006-08-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.