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Organization

MANI NALLASIVAN M D INC A PROFESSIONAL CORPORATION

Active
Other names
Merced Vein & Vascular Center
Organization subpart
No

Provider details

NPI number
Authorized official
MANI NALLASIVAN M.D. (CHIEF EXECUTIVE OFFICER / OWNER)
(209) 723-6882
Entity
Organization

Contact information

Practice address
424 E YOSEMITE AVE, SUITE A, MERCED, CA 95340-8499
(209) 383-3456
Mailing address
424 E YOSEMITE AVE, SUITE A, MERCED, CA 95340-8499
(209) 723-6882
(209) 723-6884

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A44096
CA
207RI0011X
Interventional Cardiology Physician
Primary
A44096
CA

Other

Enumeration date
02/20/2012
Last updated
03/14/2019
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