Individual
DR. NARAYANAN PONNUSAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 DEVONWOOD RD, ALTADENA, CA 91001-4018
(626) 698-6766
(626) 198-1913
Mailing address
604 DEVONWOOD RD, ALTADENA, CA 91001-4018
(626) 698-6766
(626) 198-1913
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12604
NV
208600000X
Surgery Physician
48033
WA
208600000X
Surgery Physician
Primary
C52112
CA
208600000X
Surgery Physician
MD27193
OR
Other
Enumeration date
03/10/2006
Last updated
07/15/2013
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