Individual provider · NPI-1

Dr. Manu Gujrati, MD

Otolaryngology, Plastic Surgery within the Head & Neck · Oakland, CA

NPI number1720230451
StatusActive
Last updated in NPPESDec 15, 2021

Details

NPI
1720230451
Entity type
Individual (NPI-1)
Name
Dr. Manu Gujrati
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 13, 2008
Last updated
Dec 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0007X Otolaryngology, Plastic Surgery within the Head & NeckA112446CAYes
207Y00000X OtolaryngologyMD 29049AL

Practice location

275 W Macarthur Blvd
Oakland, CA 94611-5641

Phone 510-752-1000 · Fax 408-248-2388

Mailing address

275 W Macarthur Blvd
Oakland, CA 94611-5641

Phone 510-752-1000 · Fax 408-248-2388

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