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Individual

ANITA MANTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1071 BLOSSOM HILL RD, SAN JOSE, CA 95123-1105
(408) 445-4020
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 445-4020

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C167273
CA

Other

Enumeration date
04/05/2013
Last updated
04/27/2020
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