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Individual

SUDHIR KUNCHALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6500
Mailing address
1 CORPORATE DR STE 325, SHELTON, CT 06484-6295
(203) 696-6125
(203) 337-9731

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
A200905
CA
2085R0202X
Diagnostic Radiology Physician
70377
CT
2085R0204X
Vascular & Interventional Radiology Physician
70377
CT

Other

Enumeration date
06/07/2016
Last updated
06/27/2025
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