Provider Demographics
NPI:1699751222
Name:MUSNI, EVELYN MANALILI (MD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:MANALILI
Last Name:MUSNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EVELYN
Other - Middle Name:YANGA
Other - Last Name:MANAILI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 JIB CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1208
Mailing Address - Country:US
Mailing Address - Phone:925-691-9718
Mailing Address - Fax:925-691-9718
Practice Address - Street 1:1860 MOWRY AVE STE 200
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1730
Practice Address - Country:US
Practice Address - Phone:510-790-2202
Practice Address - Fax:510-790-2806
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82026207UN0901X, 207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology