Individual
MANISHA SHAKYA SIDDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD # B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
(310) 423-8441
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
(310) 423-5252
(310) 423-8441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244453
MA
207R00000X
Internal Medicine Physician
A138364
CA
207R00000X
Internal Medicine Physician
ME116093
FL
208M00000X
Hospitalist Physician
Primary
A138364
CA
Other
Enumeration date
10/06/2010
Last updated
08/10/2022
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