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1023166907
PAVANA KRISHNA TIRIVEEDHI
LOS ANGELES, CA
NPI
1023166907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A87564)
Enumeration Date
2007-01-08
Last Update Date
2021-12-08
Business Address
PAVANA KRISHNA TIRIVEEDHI MD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
PAVANA KRISHNA TIRIVEEDHI MD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
Copy
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