Individual provider · Type 1 NPI
Matthew Shahram Manighalam, MD
Occupational Medicine Clinic/Center · Cupertino, CA
NPI number
1871079640
Active
Practice location
10050 N Wolfe Rd
Cupertino, CA 95014-2519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018011141 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2018011141 (TX) |
| Occupational Medicine Clinic/Center Primary | 261QX0100X | A192257 (CA) |
Occupational Medicine Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1871079640
Matthew Shahram Manighalam, MD's National Provider Identifier is 1871079640, issued on Jul 16, 2018. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Cupertino, CA. The record was last updated on Feb 2, 2024.