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Organization
USHA IDNANI MD
Active
Organization
USHA IDNANI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA IDNANI MD (PHYSICIAN/OWNER)
(949) 842-3854
Entity
Organization
Contact information
Practice address
34052 LA PLAZA ST, STE 105, DANA POINT, CA 92629-0000
(949) 842-3854
(949) 388-3597
Mailing address
34052 LA PLAZA ST, STE 105, DANA POINT, CA 92629-0000
(949) 842-3854
(949) 388-3597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54509
CA
Other
Enumeration date
10/16/2007
Last updated
10/08/2008
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