Provider Demographics
NPI:1679706295
Name:MULTANI, MANPREET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:MANPREET
Middle Name:KAUR
Last Name:MULTANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 E IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1040
Mailing Address - Country:US
Mailing Address - Phone:714-879-7200
Mailing Address - Fax:714-879-3010
Practice Address - Street 1:381 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1040
Practice Address - Country:US
Practice Address - Phone:714-879-7200
Practice Address - Fax:714-879-3010
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1257852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology