Individual
VANNI CHENDU MANTHIRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
(925) 460-9002
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A74140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207600
L&I
WA
05
—
1122894
—
WA
01
—
7926MA
REGENCE
WA
05
—
8519860
—
WA
01
—
P00313355
RRM
WA
Enumeration date
06/03/2006
Last updated
04/27/2024
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