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Contact Information

MANIJEH RYAN MD INC A PROFESSIONAL CORPORATION
3838 WATT AVE STE D404
SACRAMENTO, CA95821-2665
 Phone: 925-765-7761
 Fax: 510-344-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MANIJEH RYAN MD INC A PROFESSIONAL CORPORATION

NPI # 1699042507
LBN Legal business name MANIJEH RYAN MD INC A PROFESSIONAL CORPORATION
Authorized official MANIJEH RYAN - (PRESIDENT/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2011
Last updated 06/09/2022 - About 4 years ago
Identifiers
CA License # A117409
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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