Organization
MANJULA MUPPU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJULA MUPPU M.D. (PRESIDENT)
(925) 998-4151
Entity
Organization
Contact information
Practice address
5280 MONTIANO CT, DUBLIN, CA 94568-2917
(925) 998-4151
Mailing address
5280 MONTIANO CT, DUBLIN, CA 94568-2917
(925) 998-4151
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A115266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A115266
MEDICAL LICENSE
CA
Enumeration date
06/08/2015
Last updated
03/07/2023
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