| Manjula Bobbala M.d.,inc | |
|
1600 Creekside Dr Suite # 3700 Folsom CA 95630-3444 | |
| (916) 901-1455 | |
| Not Available |
| Full Name | Manjula Bobbala M.d.,inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1600 Creekside Dr, Folsom, California |
| Authorized Official Name and Position | Manjula Bobbala (PHYSICIAN) |
| Authorized Official Contact | 9162185618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manjula Bobbala M.d.,inc 2169 Sebastian Way Roseville CA 95661-3214 Ph: (916) 218-5618 | Manjula Bobbala M.d.,inc 1600 Creekside Dr Suite # 3700 Folsom CA 95630-3444 Ph: (916) 901-1455 |
| NPI Number | 1992853543 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992853543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A 87444 (* (Not Available)) | Primary |
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