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Organization
GIDUMAL MD PC
Active
Organization
GIDUMAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDER GIDUMAL MD (OWNER)
(917) 566-6720
Entity
Organization
Contact information
Practice address
11820 MAYFIELD AVE APT 215, LOS ANGELES, CA 90049-5771
(646) 801-2480
(646) 801-2480
Mailing address
11820 MAYFIELD AVE APT 215, LOS ANGELES, CA 90049-5771
(646) 801-2480
(646) 801-2480
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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