Manohar, Surekha

Manohar, Surekha is an individual health care provider with primary practice located at 751 S Bascom Ave Family Practice Department, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manohar, Surekha can be contacted via phone (408) 885-5000.

Contact Information

Primary practice address
751 S Bascom Ave Family Practice Department San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A69099 California

Profile Details

NPI number 1235195900
LBN Legal business name Manohar, Surekha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 11th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235195900 NPPES
California MEDICAID 00A690990

Popular Providers