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Organization
PARVATHI TIRUVILUAMALA M.D. A PROFESSIONAL CORPORATION
Active
Organization
PARVATHI TIRUVILUAMALA M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVATHI TIRUVILUAMALA (PRESIDENT,OWNER)
(619) 417-4535
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR, 201, SAN DIEGO, CA 92120-5134
(619) 286-8804
(619) 286-2344
Mailing address
PO BOX 628, POWAY, CA 92074-0628
(619) 417-4535
(619) 286-2344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A79302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A793020
MEDI-CAL
CA
Enumeration date
02/09/2007
Last updated
04/15/2014
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