| Manjula Muppu Md Pc | |
|
5280 Montiano Ct Dublin CA 94568-2917 | |
| (925) 998-4151 | |
| Not Available |
| Full Name | Manjula Muppu Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5280 Montiano Ct, Dublin, California |
| Authorized Official Name and Position | Manjula Muppu (PRESIDENT) |
| Authorized Official Contact | 9259984151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manjula Muppu Md Pc 5280 Montiano Ct Dublin CA 94568-2917 Ph: (925) 998-4151 | Manjula Muppu Md Pc 5280 Montiano Ct Dublin CA 94568-2917 Ph: (925) 998-4151 |
| NPI Number | 1013397652 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 9436464419 |
|---|---|
| Medicare Enrollment ID | O20150820009761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013397652 | NPI | - | NPPES |
| A115266 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A115266 (California) | Primary |
| Provider Name | Manjula Muppu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104088582 PECOS PAC ID: 2769653906 Enrollment ID: I20110920000874 |
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