Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A78961 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A78961 | CA |
NPI | 1255419941 |
---|---|
Provider Name | Manpreet S. Sanghari |
First Address | Mountain View, CA 94040-6201 |
Second Address | Sunnyvale, CA 94087-3060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A789610 | (05) | CA |
H86840 | (02) |