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Individual
MANO SHANAA
Active
Individual
MANO SHANAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A82037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A820370
BLUE SHIELD
CA
05
—
00A820370
—
CA
Enumeration date
06/09/2006
Last updated
10/13/2021
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