Manohar, Surekha
Manohar, Surekha is an individual health care provider with primary practice located at 751 S Bascom Ave Family Practice Department, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manohar, Surekha can be contacted via phone (408) 885-5000.Contact Information
Primary practice address
751 S Bascom Ave Family Practice Department
San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A69099 | California |
Profile Details
| NPI number | 1235195900 |
|---|---|
| LBN Legal business name | Manohar, Surekha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Sep 11th, 2007 - about 19 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 | 1235195900 | NPPES |
| California | MEDICAID | 00A690990 |
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