Shiny Mandla is a Pediatrics in Elk Grove, California. Shiny Mandla practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shiny Mandla is 1720166440. The last update date is 2021-11-30.
Shiny Mandla's current location address is 9201 Big Horn Blvd, Elk Grove, California. You can contact this provider via phone number 9164785000. The mailing address for Shiny Mandla is 9201 Big Horn Blvd, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shiny Mandla |
|---|---|
| Address | 9201 Big Horn Blvd, Elk Grove, California |
| Phone Number | 9164785000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1720166440 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 9201 Big Horn Blvd |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 957581240 |
| Phone Number | 9164785000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 20A6954 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX69540 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shiny Mandla by the Centers for Medicare & Medicaid Services?
The Shiny Mandla has been issued the NPI (National Provider Identifier) 1720166440, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shiny Mandla's facilities are geographically located?
The facilities of Shiny Mandla are physically situated at the following location: 9201 Big Horn Blvd, Elk Grove, CA, 957581240.
What is Shiny Mandla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shiny Mandla is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
When did Shiny Mandla receive its 1720166440 assignment?
The Shiny Mandla was assigned its 1720166440 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Shiny Mandla last refreshed?
The information related to the Shiny Mandla, including its address, specialty, and other relevant details, was last updated on 2021-11-30.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN