Manektala, Yashasvi

Manektala, Yashasvi is an individual health care provider with primary practice located at 5126 W Daybreak Pkwy , South Jordan UT 84009-5994. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Manektala, Yashasvi can be contacted via phone (801) 213-5292.

Contact Information

Primary practice address
5126 W Daybreak Pkwy South Jordan UT 84009-5994
Phone: (801) 213-5292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12637880-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12637880-1206 Utah

Profile Details

NPI number 1528711736
LBN Legal business name Manektala, Yashasvi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2022
Last updated Apr 14th, 2022 - about 2 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 1528711736 NPPES
Utah Other 12637880-1206 DOPL UTAH

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