Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW SHAHRAM MANIGHALAM, MD
Active Sole ProprietorDR. MATTHEW SHAHRAM MANIGHALAM, MD is a Occupational Medicine Clinic healthcare provider located in CUPERTINO, California. NPI 1871079640 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine Clinic · CUPERTINO, CA
Registration Details
- NPI Number
- 1871079640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2018 (8.1108569079205 yrs)
- Last Updated
- Feb 2, 2024
- Licenses
-
2018011141 (MO)2018011141 (TX)A192257 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10050 N WOLFE RDCUPERTINO, CA, 950142519Browse CA providers · Browse ZIP 95014
- Phone
- 4082366160
- Primary Specialty
-
Occupational Medicine Clinic
261QX0100X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Occupational Medicine Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.