Organization
KAVURI M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAMAIAH KAVURI MD (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(562) 407-2080
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A48719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0073090
—
CA
Enumeration date
05/01/2007
Last updated
01/31/2022
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