Organization
MANSHADI HEART INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN MANSHADI MD (OWNER)
(209) 487-4200
Entity
Organization
Contact information
Practice address
2633 PACIFIC AVE, STOCKTON, CA 95204-4429
(209) 944-5530
(209) 944-5990
Mailing address
PO BOX 4344, STOCKTON, CA 95204-0344
(209) 944-5530
(209) 944-5990
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
01/26/2017
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