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
Phone: (818) 842-8000
Fax: (323) 935-8804
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043228083 | NPPES |
California | MEDICAID | 00A730000 | |
California | Other | 220031112 | |
California | Other | 00A730000 |
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