Shiny Mandla DO

NPI 1720166440 - Pediatrics - 208000000X

NPI Details
NPI 1720166440
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9201 BIG HORN BLVD
ELK GROVE CA, 95758-1240, US
Phone (916) 478-5000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number 20A6954
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According to our database, Shiny Mandla DO NPI is 1720166440, taxonomy code is 208000000X and license number is 20A6954, license state is located at California. Shiny Mandla DO physically located at 9201 Big Horn Blvd, Elk Grove CA, 95758-1240. NPI Number Shiny Mandla DO has the Individual type.

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1720166440 NPI number is provided on an as is basis without warranty of any kind. 1720166440 is maintained by the National Plan & Provider Enumeration System. The contents of Shiny Mandla DO are for informational purposes only.