# MANJULA MUPPU MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013397652
- **Authorized official:** MANJULA MUPPU M.D. (PRESIDENT)
- **Authorized official phone:** (925) 998-4151

## Contact information

- **Practice address:** 5280 MONTIANO CT, DUBLIN, CA 94568-2917
- **Practice address phone:** (925) 998-4151
- **Mailing address:** 5280 MONTIANO CT, DUBLIN, CA 94568-2917
- **Mailing address phone:** (925) 998-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A115266 | CA | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 03/07/2023