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MANJU MATHEW
NPI 1821872235
Nurse Practitioner - Family in Modesto, CA

Active since August 24, 2023
1608 TULLY RD, MODESTO, CA 95350(209) 409-8589 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manju Mathew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANJU MATHEW (NPI 1821872235) is an individual family provider in Modesto, California, licensed in California (95025148) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1821872235
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANJU MATHEW
Location Address1608 TULLY RDModesto, CA 95350-4031
Mailing Address2605 Prosperity WayModesto, CA 95355-8646 · (209) 202-4314
Phone(209) 409-8589
Sole ProprietorNo
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1821872235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025148
1608 TULLY RD, Modesto, CA 95350
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARKANWAL SANDHU
Nurse Practitioner (Family)
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 409-8589
MR. MICHAEL THEY NP
Nurse Practitioner (Psychiatric/Mental Health)
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (866) 240-8517
CAREFORYOU INC
Nurse Practitioner (Psychiatric/Mental Health)
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (866) 240-8517
ADDICTION CENTERS OF EXCELLENCE INC.
Clinic/Center (Public Health, State or Local)
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (877) 223-7669
DR. PRITI TUSHAR MODI M.D., F.A.C.P.
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 409-8589
JAGMOHAN GHOTRA NP
Nurse Practitioner
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 849-6543
PRITI MODI, M.D. INC.
Internal Medicine
1608 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 409-8589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manju Mathew's NPI number?

The NPI number for Manju Mathew is 1821872235. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Manju Mathew located?

Manju Mathew practices at 1608 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 409-8589.

What is Manju Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Manju Mathew was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.