JENANAN PRAKASHA VAIRAVAMURTHY

LOS ANGELES, CA
NPI1881919942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: CA  A136222)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-04-01
Last Update Date2023-11-27
Business Address
JENANAN PRAKASHA VAIRAVAMURTHY MD
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033-5313
Phone number: 323-442-8541
Mailing Address
JENANAN PRAKASHA VAIRAVAMURTHY MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-8541