Provider Demographics
NPI:1770579443
Name:MANN, RUPINDER K (MD)
Entity type:Individual
Prefix:DR
First Name:RUPINDER
Middle Name:K
Last Name:MANN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:909 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:STE 114
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4038
Mailing Address - Country:US
Mailing Address - Phone:925-837-6428
Mailing Address - Fax:925-837-1403
Practice Address - Street 1:909 SAN RAMON VALLEY BLVD
Practice Address - Street 2:STE 114
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4038
Practice Address - Country:US
Practice Address - Phone:925-837-6428
Practice Address - Fax:925-837-1403
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2013-02-26
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Provider Licenses
StateLicense IDTaxonomies
CAA86484207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I06304Medicare UPIN
CA00A864840Medicare PIN