MYDILI R. MANIAM-MOHAN (NPI# 1093903262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093903262 |
| Entity Type | Individual |
| Full Name | MYDILI R. MANIAM-MOHAN |
| Credential | M.D. |
| Practice Address |
6255 N Fresno St Ste 106 Fresno CA 93710-5271 |
| Practice Telephone | 5594351500 |
| Practice Fax Number | 5594785082 |
| Mailing Telephone | 5594351500 |
| Mailing Fax Number | 5594785082 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
C54039 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C54039 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6255 N FRESNO ST STE 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131298 | First Pediatrics Medical Group, Inc. | Specialist | 6255 N Fresno St, Suite 106, Fresno, CA 93710-5271 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396328 | Brian Forster | Emergency Medicine | 11234 Anderson St Ste A890, Loma Linda, CA 92354-2804 | 2017-02-24 |
| 1588921241 | Guillermo Alberto De Angulo | Emergency Medicine | 1189 Welch Rd, Palo Alto, CA 94304-1905 | 2012-04-19 |
| 1255538450 | Julia Nicole Magana | Emergency Medicine | 4150 V St Ste 2100, Sacramento, CA 95817 | 2007-06-29 |
| 1902008733 | Nobuaki Inoue | Emergency Medicine | Llumc House Staff Office Cp 21005, 11234 Anderson Street, Loma Linda, CA 92354 | 2007-06-04 |
| 1891865689 | Michael Dmitri Bell | Emergency Medicine | 717 52nd St, Emergency Dept Childrens Hospital Oakland, Oakland, CA 94609 | 2006-11-08 |
| 1265527741 | Sharon Louise Morozumi | Emergency Medicine | 260 International Circle, San Jose, CA 95119 | 2006-10-03 |
| 1891706933 | Jin H Heur | Emergency Medicine | 1500 E Chevy Chase Dr, Suite 250, Glendale, CA 91206-4152 | 2006-08-11 |
| 1013982826 | Lara Zibners | Emergency Medicine | 3620 Kiekebusch Ct, Carmichael, CA 95608-2840 | 2006-02-23 |
| 1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
| 1902250855 | Katherine Gitz | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.