Individual
PRAVEENA YETUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 857-3201
Mailing address
925 E COLORADO BLVD, PASADENA, CA 91106-1721
(626) 584-0718
(626) 584-0873
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A43640
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A43640
CA
Other
Enumeration date
03/22/2006
Last updated
08/31/2016
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