Shiny Mandla
DO | Pediatrics | Female
Shiny Mandla, DO is a Elk Grove, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shiny Mandla is
9201 Big Horn Blvd, Elk Grove, California - 95758-1240. She can be contacted on phone at
916-478-5000.
Shiny Mandla is a sole proprietor of her business.
NPI number (Unique professional ID) for Shiny Mandla is
1720166440 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 30 Nov, 2021.
Shiny Mandla license number is
20A6954 for Pediatrics (208000000X) in California.
Shiny Mandla is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shiny Mandla basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shiny Mandla |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Shiny Mandla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9201 Big Horn Blvd
Elk Grove, CA, 95758-1240
United States |
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| Phone Number : | 916-478-5000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720166440 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 30 Nov, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shiny Mandla are as mentioned. Primary taxonomy code for Shiny Mandla, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20A6954 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Shiny Mandla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00AX69540 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 25825 VERMONT AVE,
HARBOR CITY, CA, 90710-3518
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3466
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Shiny Mandla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.