Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD 29049 | AL |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A112446 | CA |
NPI | 1720230451 |
---|---|
Provider Name | Dr. Manu Gujrati |
First Address | Oakland, CA 94611-5641 |
Second Address | Oakland, CA 94611-5641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 15/12/2021 |