Vadmal, Manjunath S

Vadmal, Manjunath S is an sole proprietor health care provider with primary practice located at 2720 W Magnolia Blvd , Burbank CA 91505-3034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Vadmal, Manjunath S can be contacted via phone (818) 842-8000.

Contact Information

Primary practice address
2720 W Magnolia Blvd Burbank CA 91505-3034
Fax: (323) 935-8804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A73000 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A73000 California

Profile Details

NPI number 1043228083
LBN Legal business name Vadmal, Manjunath S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Dec 31st, 2019 - about 5 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 1043228083 NPPES
California MEDICAID 00A730000
California Other 220031112
California Other 00A730000

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