Shiny Mandla, DO
Pediatrics in Elk Grove, CA. Individual provider (NPI-1).
NPI number1720166440
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1720166440
- Entity type
- Individual (NPI-1)
- Name
- Shiny Mandla
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 20A6954 | CA | Yes |
Practice location
9201 Big Horn BlvdElk Grove, CA 95758-1240
Phone 916-478-5000
Mailing address
1800 Harrison St Fl 7Oakland, CA 94612-3466
Phone 510-625-6262
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