Individual
SHEHAN MICHAEL THANGARATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-8000
Mailing address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-8000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A190675
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2022
Last updated
10/09/2024
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