Individual
MANJUL S DIXIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3301 EL CAMINO REAL, STE 101, ATHERTON, CA 94027-3812
(650) 556-9577
(650) 556-0655
Mailing address
3301 EL CAMINO REAL, STE 101, ATHERTON, CA 94027-3812
(650) 556-9577
(650) 556-0655
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G84174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
04/26/2006
Last updated
07/23/2015
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