Shinde, Manohar Sambhaji

Shinde, Manohar Sambhaji is an individual health care provider with primary practice located at 6425 San Fernando Road , Glendale CA 91201-3624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shinde, Manohar Sambhaji can be contacted via phone (818) 956-0101.

Contact Information

Primary practice address
6425 San Fernando Road Glendale CA 91201-3624
Fax: (818) 956-1413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A 34597 California

Profile Details

NPI number 1659472124
LBN Legal business name Shinde, Manohar Sambhaji
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1659472124 NPPES
California MEDICAID 7997816

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