Individual
POONAM MANWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2275
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2275
(253) 382-8398
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
A156469
CA
207RR0500X
Rheumatology Physician
Primary
MD61155350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180669
—
WA
Enumeration date
04/13/2016
Last updated
09/21/2022
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