Champaneria, Manish

Champaneria, Manish is an individual health care provider with primary practice located at 12395 El Camino Real Ste 112 , San Diego CA 92130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Champaneria, Manish can be contacted via phone (858) 554-9930.

Contact Information

Primary practice address
12395 El Camino Real Ste 112 San Diego CA 92130
Phone: (858) 554-9930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD60337579 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A105454 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1437356375
LBN Legal business name Champaneria, Manish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Dec 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437356375 NPPES
Washington MEDICAID 1437356375

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