MR. YASHASVI MANEKTALA PA-C NPI 1528711736

NPI Information

NPI: 1528711736
Provider Name: MR. YASHASVI MANEKTALA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
ZIP 84009
Phone: (801) 213-5292
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MR. Yashasvi Manektala, PA-C is a surgical physician assistant in South Jordan, UT. MR. Yashasvi Manektala, PA-C NPI is 1528711736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
ZIP 84009-994
Phone: (801) 213-5292

The enumeration date for this NPI number is 1/28/2022 and was last updated on 1/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	12637880-1206	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12637880-1206	OTHER	UTAH	DOPL UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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