Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vijay Krishna Manne, MD

Individual provider Hospitalist Physician · NPI 1265850440

Vijay Krishna Manne, MD is a Pediatric Medicine in Detroit, Michigan. Graduated from St Louis College of Physicians and Surgeons in 2014, 12 years ago. Practices as a sole proprietor and works from 9 locations. Licensed in California and Michigan.

Years since qualifying
12
Trained at
St Louis College of Physicians and Surgeons
Licensed in
CA, MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 Beaubien St
Detroit, MI 48201-2119
Phone: (313) 966-0128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 825 Delbon Ave, Turlock, CA 95382-2016 — (209) 664-2899
  • 400 Hobart St, Cadillac, MI 49601-2331 — (231) 876-7200
  • 14700 Lake Shore Dr, Charlevoix, MI 49720-1999 — (231) 547-3840
  • 825 N Center Ave, Gaylord, MI 49735-1592 — (989) 731-7996
  • 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 — (989) 731-7930
  • 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 — (989) 348-0550
  • 1100 E Michigan Ave, Grayling, MI 49738-1312 — (989) 348-5461
  • 2142 N Cove Blvd, Toledo, OH 43606-3895 — (419) 291-7403

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301500780 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 145445 (CA)

Record details

NPI number1265850440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2014
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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