Provider Information for 1992046874
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MANISHA CHULANI
Sex: Female
NPI: 1992046874
Last Updated: 2013-05-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1992046874 | ||||||||
| Enumeration Date | 2013-03-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 560 OAKLAND AVE OAKLAND, CA 94611-5471 United States Phone: 510-601-1929 | Fax: | ||||||||
| Primary Practice Address | 560 OAKLAND AVE OAKLAND, CA 94611-5471 United States Phone: 510-601-1929 | Fax: | ||||||||
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